MEDICARE: PAUL CHRISTOPHER PARKER M.D.

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	208M00000X	Hospitalist Physician	A54747	CA
2	208000000X	Pediatrics Physician	A54747	CA

General Provider Information

NPI Number	:	1841202710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL CHRISTOPHER PARKER M.D.

Provider Business Mailing Address
First Line	:	220 S PALISADE DR STE 203
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93454-8903
Country	:	US
Telephone Number	:	805-354-7101
Fax Number	:	805-354-7102

Provider Business Practice Location Address
First Line	:	116 S PALISADE DR
Second Line	:	SUITE 104
City	:	SANTA MARIA
State	:	CA
Zip	:	93454-8904
Country	:	US
Telephone Number	:	805-739-3280
Fax Number	:	805-739-3380

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

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	10/25/2024

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