JOHN PARK (NPI# 1063605988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063605988 |
| Entity Type | Individual |
| Full Name | JOHN PARK |
| Other Name | CALE PARK |
| Practice Address |
600 Union Ave Apt B Santa Maria CA 93455-5327 |
| Mailing Address |
3840 Orcutt Garey Rd Santa Maria CA 93454-9629 |
| Practice Telephone | 8059372826 |
| Mailing Telephone | 8059372826 |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MCMILLAN RANCH | 1689762486 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558718437 | John Park | Student in an Organized Health Care Education/Training Program | 8829 Hawthorne Ct, Ellicott City, MD 21043-3317 | 2016-05-19 |
| 1093134488 | John J. Park | Dentist | 5805 Silver Hill Rd Ste G, District Heights, MD 20747-1171 | 2014-04-14 |
| 1811265697 | John Park | Chiropractor | 2600 Walnut Ave Ste F, Tustin, CA 92780-7032 | 2011-12-07 |
| 1467759324 | John Park | Chiropractor | 256 N Sam Houston Pkwy E, Houston, TX 77060-2008 | 2011-02-11 |
| 1215168109 | John Ho Park | Radiology | 3901 Rainbow Blvd # Ms 4033, University of Kansas Medical Center, Kansas City, KS 66103-2937 | 2009-07-27 |
| 1144320292 | John Wonil Park | Anesthesiology | 7811 Courtney Manor Ln, Katy, TX 77494-6575 | 2006-09-25 |
| 1972538221 | John Park | Acupuncturist | 3815 1/2 Ocean View Blvd, Montrose, CA 91020-2125 | 2006-07-12 |
| 1205862075 | John Johghyun Park | Anesthesiology | 310 Egg Harbor Rd, Sewell, NJ 08080-1854 | 2006-06-24 |
| 1730181454 | John J Park | Dentist | 1079 Chambers St, Eugene, OR 97402-3706 | 2005-08-12 |
| 1588665103 | John S Park | Internal Medicine | 3033 State Rd Ste 203, Cuyahoga Falls, OH 44223-3600 | 2005-08-04 |
| Street Address |
600 UNION AVE APT B |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93455-5327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724507 | Cottage Clinical Network, LLC | Clinic/Center | 1606 E Clark Ave, Building C, Suite 2, Orcutt, CA 93455 | 2020-06-10 |
| 1750905907 | Cottage Clinical Network, LLC | Clinic/Center | 3569 Skyway Drive, Santa Maria, CA 93455 | 2020-06-03 |
| 1891256194 | Derin Deniz Allard | Student in an Organized Health Care Education/Training Program | Marian Family Medicine Center, 1400 E. Church Street, Santa Maria, CA 93455 | 2019-03-28 |
| 1942781729 | Shannon Leigh Stamey | Marriage & Family Therapist | 235 E Clark Ave, Orcutt, CA 93455 | 2018-08-28 |
| 1710471362 | Amit Rawal | Behavioral Analyst | 2342 Professional Pkwy., Ste. 300, Santa Maria, CA 93455 | 2018-06-18 |
| 1548799075 | Karina Valdez | Marriage & Family Therapist | 2370 Skyway Drive Suite #104, Santa Maria, CA 93455 | 2017-06-08 |
| 1801337464 | Brenee English | Counselor | 144 George Lane, Orcutt, CA 93455 | 2017-03-15 |
| 1043762883 | Changing Faces Inc. I/ii | Community/Behavioral Health | 4160 Odie Lane, Santa Maria, CA 93455 | 2016-10-27 |
| 1194177964 | Lindsay E Soto | Counselor | 3653 Corta Bella Way, Santa Maria, CA 93455 | 2016-07-06 |
| 1003239427 | Wellness Solutions, Inc | Chiropractor | 210. E Clark Avenue, Suite A, Santa Maria, CA 93455 | 2014-01-22 |
| Find all providers in zip 93455 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447663299 | Dan Reynolds | Case Manager/Care Coordinator | 117 W. Tunnel Street, Santa Maria, CA 93458 | 2014-06-10 |
| 1205144631 | Sally Smith | Case Manager/Care Coordinator | 201 Carmen Ln, Santa Maria, CA 93458-7722 | 2010-09-20 |
| 1154557965 | Mark Tompkins | Case Manager/Care Coordinator | 117 W. Tunnel St., Santa Maria, CA 93454 | 2009-06-08 |
| 1760627384 | Julie Caraza | Case Manager/Care Coordinator | 1508 S Barbara St, Santa Maria, CA 93458-7110 | 2008-12-10 |
| 1912154675 | Cynthia Camacho | Case Manager/Care Coordinator | 819 W Church St, Santa Maria, CA 93458-4265 | 2008-08-25 |
| 1285802132 | Jean Hobbs | Case Manager/Care Coordinator | 2445 A St, Santa Maria, CA 93455-1401 | 2008-02-13 |
| 1386837201 | Sharon Van Dyke | Case Manager/Care Coordinator | 715 Doeskin Trl, Santa Maria, CA 93455-6020 | 2007-08-23 |
| 1770621005 | Cindy V Lopez | Case Manager/Care Coordinator | 319 Gilea Ct, Santa Maria, CA 93455-1382 | 2007-02-01 |
| 1043822695 | Yaneli Madai Bailon | Case Manager/Care Coordinator | 124 Carmen Ln Ste A, Santa Maria, CA 93458-7768 | 2020-08-17 |
| 1083230411 | Georgina Ayala | Case Manager/Care Coordinator | 124 Carmen Ln Ste A, Santa Maria, CA 93458-7768 | 2020-06-22 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93455 |
Please comment or provide details below to improve the information on JOHN PARK.
| 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.