MR. SEAN THOMAS PARKER (NPI# 1497221832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497221832 |
| Entity Type | Individual |
| Full Name | MR. SEAN THOMAS PARKER |
| Credential | PA-C |
| Practice Address |
18990 Coyote Valley Rd Ste 10 Hidden Valley Lake CA 95467-8339 |
| Practice Telephone | 7079878344 |
| Mailing Telephone | 7079878344 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2019-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA56145 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935306 | Sean Jernard Parker | Counselor | 1326 Jamie Ln, Homewood, IL 60430-4038 | 2020-02-25 |
| 1295819811 | Sean P Parker | Physician Assistant | 100 Highway 18 W, Suite 106, Barnesville, GA 30204-1171 | 2006-10-24 |
| 1003442955 | Sean Medard Parker | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr, Morgantown, WV 26505-3409 | 2020-03-22 |
| 1548785538 | Sean Dominique Parker | Adult Companion | 847 Ne 19th Ave, Portland, OR 97232 | 2017-08-10 |
| 1356399901 | Sean G Parker | Family Medicine | 5501 Gordon Smith Dr Ste 500, Rowlett, TX 75089-3209 | 2006-05-05 |
| Street Address |
18990 COYOTE VALLEY RD STE 10 |
| City | HIDDEN VALLEY LAKE |
| State | CA |
| Zip Code | 95467-8339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801998968 | Corey Warner | Internal Medicine | 18990 Coyote Valley Rd Ste 10, Hidden Valley Lake, CA 95467-8339 | 2006-09-01 |
| 1205928579 | Theresa Schmitz | Physician Assistant | 18990 Coyote Valley Rd Ste 10, Hidden Valley Lake, CA 95467-8339 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790806602 | Marvich Enterprises, LLC | Pharmacy | 19851 Hartmann Road, Suite C, Hidden Valley Lake, CA 95467 | 2007-04-02 |
| 1982730800 | Adventist Health California Medical Group, Inc. | Specialist | 18990 Coyote Valley Road, Suite 8, Hidden Valley Lake, CA 95467 | 2007-02-26 |
| 1154571636 | Adventist Health California Medical Group, Inc. | Psychiatry & Neurology | 18990 Coyote Valley Road, Suite 8, Hidden Valley Lake, CA 95467 | 2008-09-22 |
| 1992003602 | Laura Nichols | Midwife | 17921 Moon Hill Ct, Hidden Valley Lake, CA 95467-8097 | 2011-03-03 |
| 1457764466 | Betty Lue Lieber | Counselor | 17664 Greenridge Rd, Hidden Valley Lake, CA 95467-8275 | 2014-06-06 |
| 1790116861 | Maravich Enterprises | Pharmacy | 19851 Hartmann Rd, Unit C, Hidden Valley Lake, CA 95467-8307 | 2013-11-27 |
| 1194927327 | Maureen Frances Brown | Nurse Practitioner | 19400 Dallas Ct # B, Hidden Valley Lake, CA 95467-8325 | 2007-06-01 |
| 1598398711 | Lisa Cuff | Nurse Practitioner | 19558 Donkey Hill Rd, Hidden Valley Lake, CA 95467-8332 | 2020-02-17 |
| 1710584388 | Lake Health Services, Inc. | Pharmacy | 18990 Coyote Valley Rd Ste 2&3, Hidden Valley Lake, CA 95467-8337 | 2020-10-06 |
| 1578860722 | Adventist Health Physicians Network | Internal Medicine | 18990 Coyote Valley Rd, Suite 9, Hidden Valley Lake, CA 95467-8337 | 2011-02-24 |
| Find all providers in zip 95467 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407679 | Samantha Sidney Spinner | Physician Assistant | 1385 Shattuck Ave Apt 201, Berkeley, CA 94709-1468 | 2020-11-08 |
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1992306872 | Kelsey Oberg | Physician Assistant | 1817 Oldfield Ct, El Cajon, CA 92019-4233 | 2020-11-05 |
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1164023347 | Wendy P Lewis | Physician Assistant | 10447 Highdale St, Bellflower, CA 90706-4122 | 2020-11-04 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
| Find all providers with the same taxonomy | ||||
| City | HIDDEN VALLEY LAKE |
| Zip Code | 95467 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.