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DR. KERRI SHANE PARKS M.D.
NPI 1104893775
Specialist in Glendale, CA

Active since March 02, 2006PECOS Enrolled
1808 VERDUGO BLVD, SUITE 208, GLENDALE, CA 91208(818) 952-5322(818) 952-7993 Get Directions Write a Review

NPPES record last updated: December 7, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kerri Shane Parks M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KERRI SHANE PARKS M.D. (NPI 1104893775) is an individual specialist in Glendale, California, licensed in California (A65496) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104893775
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. KERRI SHANE PARKSCredential: M.D.
Location Address1808 VERDUGO BLVD, SUITE 208Glendale, CA 91208-1477
Mailing Address1808 Verdugo Blvd, Suite 208Glendale, CA 91208-1477 · (818) 952-5322 · Fax (818) 952-7993
Phone(818) 952-5322
Fax(818) 952-7993
Sole ProprietorNo
Enumeration DateMarch 2, 2006
Last NPPES UpdateDecember 7, 2007
✔ NPI 1104893775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A65496
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1808 VERDUGO BLVD, Glendale, CA 91208
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Other Identifiers 3

Medicare UPINWA65496DCA
MedicaidGR0102260CA
Medicare UPINH31405CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kerri Shane Parks M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
81%433 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
96%1,079 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
53%1,442 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 75% · 1,185 patients
71%1,185 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELLIE BLOOMFIELD M.D.
Internal Medicine
1808 VERDUGO BLVD, SUITE 403
GLENDALE, CA 91208
Los Angeles County (818) 790-7098
DR. VINH TAN TRAN MD, PHD
Ophthalmology
1808 VERDUGO BLVD, SUITE 206
GLENDALE, CA 91208
Los Angeles County (818) 790-7611
MICHAEL S. CANN, M.D., INC.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1808 VERDUGO BLVD, SUITE 112
GLENDALE, CA 91208
Los Angeles County (818) 949-7380
USC SCHOOL OF PHARMACY
Pharmacy (Community/Retail Pharmacy)
1808 VERDUGO BLVD, STE 111
GLENDALE, CA 91208
Los Angeles County (818) 952-2223
DR. STEPHANIE MARTA RADE D.O.
Internal Medicine
1808 VERDUGO BLVD, STE 403
GLENDALE, CA 91208
Los Angeles County (818) 790-7098
ALICE YUN,M.D.,INC
Specialist
1808 VERDUGO BLVD, SUITE 404
GLENDALE, CA 91208
Los Angeles County (818) 952-6300
MICHAEL STERLING CANN M.D.
Orthopaedic Surgery
1808 VERDUGO BLVD, 112
GLENDALE, CA 91208
Los Angeles County (818) 949-7380
VERDUGO HILLS PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
1808 VERDUGO BLVD, SUITE 111
GLENDALE, CA 91208
Los Angeles County (818) 952-2223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kerri Parks's NPI number?

The NPI number for Kerri Parks is 1104893775. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Kerri Parks located?

Kerri Parks practices at 1808 Verdugo Blvd Suite 208, Glendale, CA 91208. The listed phone number is (818) 952-5322.

What is Kerri Parks's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kerri Parks enrolled in Medicare?

Yes. Kerri Parks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kerri Parks was last updated on December 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.