KEVIN S. PARK (NPI# 1093823494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093823494 |
| Entity Type | Individual |
| Full Name | KEVIN S. PARK |
| Credential | M.D. |
| Practice Address |
11525 Brookshire Ave Suite #201 Downey CA 90241-4985 |
| Mailing Address |
11411 Brookshire Ave Ste 200 Downey CA 90241-5004 |
| Practice Telephone | 5628694421 |
| Practice Fax Number | 5628693600 |
| Mailing Telephone | 5628694421 |
| Mailing Fax Number | 5628693600 |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2016-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | A67776 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013045343 | Kevin Warren Park | Psychiatry & Neurology | 124 River Rd, Kinship Center, Salinas, CA 93908-9601 | 2007-02-28 |
| 1952372914 | Kevin N Park | Psychologist | 5860 S Curtice St, Littleton, CO 80120-1909 | 2006-01-30 |
| 1891308417 | Kevin Park | Pharmacist | 7789 Foothill Blvd, Tujunga, CA 91042-2137 | 2020-08-24 |
| 1619462314 | Kevin Park | Student in an Organized Health Care Education/Training Program | 333 City Blvd W Ste 2150, Orange, CA 92868-5920 | 2018-06-25 |
| 1295102317 | Kevin Park | Dentist | 1365 Barrow St, Abilene, TX 79605-5171 | 2015-08-24 |
| 1649653106 | Kevin Woo Park | Orthopaedic Surgery | 9500 Euclid Ave # A41, Cleveland, OH 44195-0001 | 2015-07-02 |
| 1093103004 | Kevin Park | Pharmacist | 1496 Market St, San Francisco, CA 94102-6004 | 2014-12-26 |
| 1538456710 | Kevin Park | Pharmacist | 12051 Imperial Hwy, Norwalk, CA 90650-3084 | 2011-07-07 |
| 1356579627 | Kevin U Park | Orthopaedic Surgery | 1265 Highway 54 W, Suites 102 and 308, Fayetteville, GA 30214-4548 | 2009-06-25 |
| 1215004965 | Kevin Alan Park | Occupational Therapist | 206b Oxford Rd, New Albany, MS 38652-3115 | 2006-11-29 |
| Street Address |
11525 BROOKSHIRE AVE SUITE #201 |
| City | DOWNEY |
| State | CA |
| Zip Code | 90241-4985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306816657 | Douglas A Blose | Dermatology | 11525 Brookshire Ave, Downey, CA 90241-4985 | 2006-01-26 |
| 1932748126 | Bo Cho | Acupuncturist | 11525 Brookshire Ave, Downey, CA 90241-4985 | 2020-01-05 |
| 1710358395 | Phillip Boggs | Nurse Practitioner | 11525 Brookshire Ave, Suite 400, Downey, CA 90241-4985 | 2015-10-08 |
| 1831582998 | Retina Institute of California Medical Group | Optometrist | 11525 Brookshire Ave, 210a, Downey, CA 90241-4985 | 2015-03-13 |
| 1487075735 | Pallavi Kasukurthi | Internal Medicine | 11525 Brookshire Ave, Suite 400, Downey, CA 90241-4985 | 2014-01-03 |
| 1164760948 | Applecare Medical Group, Inc. | Non-Pharmacy Dispensing Site | 11525 Brookshire Ave, 400, Downey, CA 90241-4985 | 2013-01-29 |
| 1821370040 | Sharon George | Hospitalist | 11525 Brookshire Ave, #400, Downey, CA 90241-4985 | 2011-09-14 |
| 1215230297 | J. Bruce Jacobs, Md, Inc | Radiology | 11525 Brookshire Ave, Suite 111, Downey, CA 90241-4985 | 2010-12-13 |
| 1558683037 | Victoria Anna Reyman | Nurse Practitioner | 11525 Brookshire Ave, Suite 301, Downey, CA 90241-4985 | 2010-02-24 |
| 1083840367 | Raj Balasundaram | Internal Medicine | 11525 Brookshire Ave, Suite 400, Downey, CA 90241-4985 | 2009-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029005 | Adam Lyle Barnhardt | Counselor | 11500 Paramont Blvd., Downey, CA 90241 | 2020-10-05 |
| 1922630482 | Betzabeth Benitez Perez | Counselor | Scadp, 11500 Paramount Blvd., Downey, CA 90241 | 2020-02-12 |
| 1457858714 | Diane Padre-gozun | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2018-04-12 |
| 1295233963 | Community Family Guidance Center | Community/Behavioral Health | 12330 Woodruff Ave, Downey, CA 90241 | 2018-01-29 |
| 1487167433 | Progressive Medical Associates | Health Maintenance Organization | 6611 Seville Avenue, Huntington Park, CA 90241 | 2017-11-13 |
| 1194236018 | Dental Office of Downey Inc. | Clinic/Center | 10917 Paramounth Blvd, Downey, CA 90241 | 2017-10-18 |
| 1376063933 | Sophea Tim | Pharmacist | 11525 Brookshire Avenue Suite 400, Downey, CA 90241 | 2017-06-26 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| 1053844043 | Stephen Nealon Berberich | Internal Medicine | 1544 Downey Ave, Downey, CA 90241 | 2017-04-06 |
| 1225424187 | Davis Huang | Internal Medicine | 11500 Brookshire Ave., Downey, CA 90241 | 2015-04-07 |
| Find all providers in zip 90241 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780841999 | Lee Bryan Silver | Orthopaedic Surgery | 8050 Florence Ave Ste 107, Downey, CA 90240-3881 | 2008-05-16 |
| 1639245129 | Mark Allan Silver | Orthopaedic Surgery | 8050 Florence Ave, Suite 107, Downey, CA 90240-3834 | 2006-11-27 |
| 1033293121 | Frank Burnard Giacobetti | Orthopaedic Surgery | 8555 E Florence Ave, Downey, CA 90240 | 2006-10-25 |
| 1124120092 | Simon Lavi | Orthopaedic Surgery | 7700 Imperial Hwy, Suite R, Downey, CA 90242-3469 | 2006-09-02 |
| 1487762944 | Richard Byron Chambers | Orthopaedic Surgery | 11411 Brookshire Ave 200, Downey, CA 90241-5004 | 2006-08-26 |
| 1538241237 | Robert Waters | Orthopaedic Surgery | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2006-10-20 |
| 1508967548 | Pradeep J Kumar | Orthopaedic Surgery | 9353 Imperial Highway, Downey, CA 90242-3456 | 2006-09-25 |
| 1003918996 | Simon Lavi, D.o. | Orthopaedic Surgery | 7700 Imperial Hwy, Suite R, Downey, CA 90242-3469 | 2006-09-02 |
| 1831209808 | Robert Brumfield | Orthopaedic Surgery | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2006-08-30 |
| 1053429456 | Vance Charles Eberly | Orthopaedic Surgery | 11525 Brookshire Ave, Suite #405, Downey, CA 90241-4985 | 2006-08-26 |
| Find all providers in DOWNEY | ||||
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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.