Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phillip Parra

Individual provider Clinical Social Worker · NPI 1063688430

Phillip Parra is a Clinical Social Worker in Loma Linda, California. Qualified in 2007, 19 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

11201 Benton St Social Work Dept
Loma Linda, CA 92357
Phone: (909) 825-7084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW62658 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence ASW 25845 (CA)

Record details

NPI number1063688430
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 5, 2008
Last updated in NPPESJanuary 31, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Loma Linda