Provider Demographics
NPI:1235408352
Name:PARKER, JULIA C (PA)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:C
Last Name:PARKER
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:2330 MARINSHIP WAY STE 370
Mailing Address - Street 2:
Mailing Address - City:SAUSALITO
Mailing Address - State:CA
Mailing Address - Zip Code:94965-2853
Mailing Address - Country:US
Mailing Address - Phone:512-413-4890
Mailing Address - Fax:415-887-9763
Practice Address - Street 1:504 W PUEBLO ST STE 102
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-6211
Practice Address - Country:US
Practice Address - Phone:805-682-6455
Practice Address - Fax:805-687-1482
Is Sole Proprietor?:No
Enumeration Date:2011-12-19
Last Update Date:2022-11-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA22187363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1100356OtherNCCPA