Dr. Adam Russell Parker, MD
Student in an Organized Health Care Education/Training Program in Stockton, CA. Individual provider (NPI-1).
NPI number1902609092
StatusActive
Last updated in NPPESApr 4, 2025
Details
- NPI
- 1902609092
- Entity type
- Individual (NPI-1)
- Name
- Dr. Adam Russell Parker
- Credential
- MD
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2025
- Certification date
- Apr 4, 2025
- Last updated
- Apr 4, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1800 N California StStockton, CA 95204-6019
Phone 209-547-7177
Mailing address
1800 N California StStockton, CA 95204-6019
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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