DR. GUSTAVO B. PARRA (NPI# 1912922840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912922840 |
| Entity Type | Individual |
| Full Name | DR. GUSTAVO B. PARRA |
| Other Name | GUSTAVO PARRA |
| Credential | M.D. |
| Practice Address |
2820 Alum Rock Ave Suite #10 San Jose CA 95127-5608 |
| Practice Telephone | 4082545040 |
| Practice Fax Number | 4082545044 |
| Mailing Telephone | 4082545040 |
| Mailing Fax Number | 4082545044 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2011-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G80233 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA # | BP3664388 | 01 |
| CA | MEDICAL LICENSE | G80233 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801278569 | Gustavo A Parra | Counselor | 918 S Horton St, Suite 1009, Seattle, WA 98134-1952 | 2015-06-18 |
| Street Address |
2820 ALUM ROCK AVE SUITE #10 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95127-5608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972553048 | Ricardo Narciso Lopez | Pediatrics | 2820 Alum Rock Ave, Suite 50, San Jose, CA 95127-5608 | 2006-05-11 |
| 1427136894 | Alfredo Ramirez | Family Medicine | 2820 Alum Rock Ave, San Jose, CA 95127-5608 | 2006-11-01 |
| 1114014339 | Phanle, Inc | Pharmacy | 2820 Alum Rock Ave, Suite 43, San Jose, CA 95127-5608 | 2006-10-09 |
| 1710085055 | Parra Medical Clinic, Inc. | Nurse Practitioner | 2820 Alum Rock Ave, Suite 10, San Jose, CA 95127-5608 | 2006-09-20 |
| 1154330017 | Chau My Phan | Dentist | 2820 Alum Rock Ave, #30, San Jose, CA 95127 | 2006-08-07 |
| 1023037421 | Caroline S. Parra | Nurse Practitioner | 2820 Alum Rock Ave, Suite #10, San Jose, CA 95127-5608 | 2006-07-18 |
| 1568406957 | Prabjot Sandhu | Physician Assistant | 2820 Alum Rock Ave, San Jose, CA 95127-5608 | 2006-06-15 |
| 1215974241 | Alicia Vazquez | Pediatrics | 2820 Alum Rock Ave, Suite 50, San Jose, CA 95127-5608 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635162 | Veronica Isabel Foggie | Massage Therapist | 3570 Ct, San Jose, CA 95127 | 2020-10-05 |
| 1235605528 | Melissa Ann Morgan | Case Manager/Care Coordinator | 428 N. White Rd., San Jose, CA 95127 | 2018-10-15 |
| 1386126621 | Alum Rock Counseling Center | Community/Behavioral Health | 14281 Story Road, San Jose, CA 95127 | 2018-09-04 |
| 1407359383 | Erin Rodriguez | Behavior Technician | 1593 Amesbury Way, San Jose, CA 95127 | 2018-03-16 |
| 1407209919 | Binita Dorce | Counselor | 14820 Mcvay Avenue, San Jose, CA 95127 | 2016-07-20 |
| 1851766448 | Lynn H Trieu | Pharmacist | 3200 Kawalker Ln, San Jose, CA 95127 | 2015-12-08 |
| 1184099723 | Royal Plus Home Care, Inc | In Home Supportive Care | 302-f Toyon Ave. #182, San Jose, CA 95127 | 2015-12-08 |
| 1710363916 | Chan Pham | Acupuncturist | 10048 Bethel Ave, San Jose, CA 95127 | 2015-08-11 |
| 1639574320 | Jesus I Yanez | Dentist | 100 South White Road Suite 210, San Jose, CA 95127 | 2014-10-24 |
| 1285051110 | Vinh Quang Tran | Pharmacist | 3478 Neves Way, San Jose, CA 95127 | 2014-03-28 |
| Find all providers in zip 95127 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922658723 | Mai Medical, Inc. | Family Medicine | 2641 Senter Rd, San Jose, CA 95111-1122 | 2019-09-13 |
| 1740712421 | Emily Hsiao | Family Medicine | 276 International Cir Unit D, San Jose, CA 95119-1130 | 2017-03-31 |
| 1629526264 | John Heringer | Family Medicine | 2823 Cardinal Ln, San Jose, CA 95125-4800 | 2016-09-12 |
| 1598152043 | Shoaib Khalid | Family Medicine | 6658 Mount Holly Dr, San Jose, CA 95120-1931 | 2015-04-22 |
| 1942604665 | Kyaw Min | Family Medicine | 2395 Montpelier Dr Ste 4, San Jose, CA 95116-1619 | 2014-10-09 |
| 1679996151 | Qingbo Sui | Family Medicine | 1870 Lundy Avenue, San Jose, CA 95131-1826 | 2014-02-04 |
| 1972938801 | Claudine Lott | Family Medicine | 145 Nicholson Ln, San Jose, CA 95134 | 2013-09-11 |
| 1689016271 | Valerie Halls | Family Medicine | 276 International Cir Unit G, San Jose, CA 95119-1130 | 2013-07-23 |
| 1114366572 | Maryam Kalami | Family Medicine | 1451 Regalo Ct, San Jose, CA 95128-4523 | 2013-06-19 |
| 1750725511 | Sreelata Kintala | Family Medicine | 746 The Alameda Ste 10, San Jose, CA 95126-3178 | 2013-04-24 |
| Find all providers in SAN JOSE | ||||
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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.