Healthcare Provider Details

I. General information

NPI: 1073585899
Provider Name (Legal Business Name): JOHN SCOTT PARRISH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34800 BOB WILSON DR SUITE 410
SAN DIEGO CA
92134-1098
US

IV. Provider business mailing address

11825 CAMINITO SANUDO
SAN DIEGO CA
92131-2103
US

V. Phone/Fax

Practice location:
  • Phone: 619-532-9067
  • Fax: 619-532-9091
Mailing address:
  • Phone: 619-532-5990
  • Fax: 619-532-7625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number174058-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number174058-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: