MEDICARE: ERIC S PARSONS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	136730	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437142270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC S PARSONS MD

Provider Business Mailing Address
First Line	:	1513 FREMONT BLVD # E1
Second Line	:
City	:	SEASIDE
State	:	CA
Zip	:	93955-4319
Country	:	US
Telephone Number	:	831-899-1910
Fax Number	:

Provider Business Practice Location Address
First Line	:	1513 FREMONT BLVD # E1
Second Line	:
City	:	SEASIDE
State	:	CA
Zip	:	93955-4319
Country	:	US
Telephone Number	:	831-899-1910
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	03/23/2021

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