Healthcare Provider Details

I. General information

NPI: 1285077511
Provider Name (Legal Business Name): ANDREW PARKER CHAMBERLIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2013
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 UPPER RAGSDALE DR STE B210
MONTEREY CA
93940-7851
US

IV. Provider business mailing address

2 UPPER RAGSDALE DR STE B210
MONTEREY CA
93940-7851
US

V. Phone/Fax

Practice location:
  • Phone: 831-333-0999
  • Fax:
Mailing address:
  • Phone: 831-333-0999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDR.0071881
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC196295
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: