DR. DAVID RAE PARK (NPI# 1003855313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003855313 |
| Entity Type | Individual |
| Full Name | DR. DAVID RAE PARK |
| Credential | MD |
| Practice Address |
8041 Newman Ave Huntington Beach CA 92647 |
| Mailing Address |
10601 Walker St Ste 250 Cypress CA 90630-4733 |
| Practice Telephone | 8884999303 |
| Mailing Telephone | 8884999303 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2019-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G155980 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 48609 | 01 |
| FL | 270681400 | 05 | |
| RAILROAD MEDICARE | P00223219 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524743 | David Park | Dentist | 810 3rd Ave Ste 200, Seattle, WA 98104-1614 | 2020-09-27 |
| 1447879648 | David Jaehyun Park | Student in an Organized Health Care Education/Training Program | 193 Oak St Apt 202e, Newton Upper Falls, MA 02464-1449 | 2020-04-09 |
| 1093363574 | David Mansug Park | Acupuncturist | 5200 Newberry Rd Ste D8, Gainesville, FL 32607-2177 | 2019-08-28 |
| 1831614387 | David Ji Hyun Park | Dentist | 393 Dunlap St N Ste 308, Saint Paul, MN 55104-4223 | 2017-08-06 |
| 1265686448 | David H Park | Dentist | 3530 Dartmouth Ln, Rowland Heights, CA 91748-5135 | 2008-11-14 |
| 1578763413 | David Kyung-il Park | Emergency Medicine | 2500 Merced Sreet, San Leandro, CA 94577-4201 | 2007-07-19 |
| 1942410501 | David S Park | Dentist | 10390 Coloma Rd Ste A, Rancho Cordova, CA 95670-2152 | 2007-05-23 |
| 1780762245 | David Hwantae Park | Optometrist | 7750 N Macarthur Blvd, Ste 180, Irving, TX 75063-7524 | 2006-11-01 |
| 1942315874 | David Daegeun Park | Family Medicine | 119 S Fuquay Avenue, Fuquay-varina, NC 27526-2210 | 2006-08-20 |
| 1114558897 | David Seho Park | Pharmacist | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2020-01-30 |
| Street Address |
8041 NEWMAN AVE |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306841036 | Community Care Health Centers | Family Medicine | 8041 Newman Ave, Huntington Beach, CA 92647-7034 | 2005-06-17 |
| 1922587930 | Crystal Crain | Case Manager/Care Coordinator | 8041 Newman Ave, Huntington Beach, CA 92647-7034 | 2018-08-09 |
| 1700376506 | Sono Imaging Mobile Services | Radiology | 8041 Newman Ave, Huntington Beach, CA 92647-7034 | 2018-05-16 |
| 1457859183 | Tiffany Lin Chou | Nurse Practitioner | 8041 Newman Ave, Huntington Beach, CA 92647-7034 | 2018-01-29 |
| 1578945663 | Rajni Boparai | Family Medicine | 8041 Newman Ave, Huntington Beach, CA 92647-7034 | 2015-06-24 |
| 1740681600 | Olga Trinidad Barreal | Nutritionist | 8041 Newman Ave, Huntington Beach, CA 92647-7034 | 2014-09-10 |
| 1134529795 | Jennifer Roxana Estrada-melgar | Family Medicine | 8041 Newman Ave, Huntington Beach, CA 92647-7034 | 2014-09-01 |
| 1679908966 | Estela Rivera | Case Manager/Care Coordinator | 8041 Newman Ave, Huntington Beach, CA 92647-7034 | 2013-09-05 |
| 1316299621 | Jessica Abraham | Pharmacist | 8041 Newman Ave, Huntington Beach, CA 92647-7034 | 2012-10-10 |
| 1023360328 | Grace Kim | Pharmacist | 8041 Newman Ave, Huntington Beach, CA 92647-7034 | 2012-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464231 | Patricia Michelle Ramsey | Counselor | 16761 Viewpoint Lane, Apt 386, Huntington Beach, CA 92647 | 2018-01-02 |
| 1780103390 | Luz Flores | Health Educator | 8041 Newman Avenue, Hungtington Beach, CA 92647 | 2017-09-14 |
| 1134649106 | Louise Polzel | Social Worker | 17111 Beach Blvd St 205, Huntington Beach, CA 92647 | 2017-06-21 |
| 1205364015 | Chi Hong Nguyen | Family Medicine | 8201 Newman Ave 101, Huntington, CA 92647 | 2017-05-24 |
| 1396281770 | Sandra Vera | Specialist/Technologist | 7812 Edinger Ave. #400, Huntington Beach, CA 92647 | 2017-01-10 |
| 1245773050 | Sherika Benjamin | Technician, Pathology | 8211 San Angelo Drive Suit #f2, Huntington Beach, CA 92647 | 2016-11-28 |
| 1306389440 | Nhi Pham Nguyen | Behavioral Analyst | 17732 Beach Blvd., Suite G, Huntington Beach, CA 92647 | 2016-11-21 |
| 1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
| 1699148494 | Daniel Bui | Dentist | 16900-a Goldenwest St, Huntington Beach, CA 92647 | 2015-11-03 |
| 1598132359 | Hayley Patricia Buchanan | Specialist/Technologist | 23441 S. Pointe Drive, Suite 245, Laguna Hills, ORANGE COUNTY 92647 | 2015-08-27 |
| Find all providers in zip 92647 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083249353 | Lori Kortkamp | Family Medicine | 6762 Warner Ave Apt M2, Huntington Beach, CA 92647-5324 | 2020-03-07 |
| 1649823444 | Yousef Ireifej Md Inc | Family Medicine | 5942 Edinger Ave Ste 113-165, Huntington Beach, CA 92649-1763 | 2019-07-20 |
| 1770023335 | Lucy Kourkchian Pun | Family Medicine | 18800 Delaware St Ste 800, Huntington Beach, CA 92648-6019 | 2017-03-02 |
| 1740685387 | Matthew Wayne Abinante | Family Medicine | 613 Amber Dr, Huntington Beach, CA 92648-3716 | 2014-10-24 |
| 1225437098 | Charles P. Nichols | Family Medicine | 10131 Birchwood Dr, Huntington Beach, CA 92646-5432 | 2014-08-18 |
| 1245644681 | Zakaria Ahmad | Family Medicine | 16121 Beach Blvd Ste B, Huntington Beach, CA 92647-3804 | 2014-06-13 |
| 1699029504 | Jean-pierre Jacques Dufour | Family Medicine | 8952 Faust Cir., Huntington Beach, CA 92646 | 2012-10-30 |
| 1144546037 | Meir Ben-shoshan | Family Medicine | 17099 Edgewater Ln, Huntington Beach, CA 92649-4207 | 2010-04-16 |
| 1174856579 | Pleiotropy, Inc. | Family Medicine | 18821 Delaware St Ste 207, Huntington Beach, CA 92648-1936 | 2009-09-16 |
| 1063672145 | Millie Jay Surati-tantod | Family Medicine | 5355 Warner Ave Ste 102, Huntington Beach, CA 92649-6030 | 2008-06-12 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92647 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.