Provider Demographics
NPI:1760447320
Name:PARSONS, DONALD SAMUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:SAMUEL
Last Name:PARSONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:400 EL CERRO BLVD
Mailing Address - Street 2:STE 102
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-1731
Mailing Address - Country:US
Mailing Address - Phone:925-855-3780
Mailing Address - Fax:925-855-3785
Practice Address - Street 1:400 EL CERRO BLVD
Practice Address - Street 2:STE 102
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-1731
Practice Address - Country:US
Practice Address - Phone:925-855-3780
Practice Address - Fax:925-855-3785
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG30974207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A44621Medicare UPIN
00G309740Medicare ID - Type Unspecified
CA1760447320Medicare PIN