MR. MATHEW PARK (NPI# 1245563378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245563378 |
| Entity Type | Individual |
| Full Name | MR. MATHEW PARK |
| Practice Address |
73 Applegate Way Alameda CA 94502-7714 |
| Practice Telephone | 5102057000 |
| Mailing Telephone | 5102057000 |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
73 APPLEGATE WAY |
| City | ALAMEDA |
| State | CA |
| Zip Code | 94502-7714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699121970 | Dao Integrated Health | Acupuncturist | 1050 Marina Village Pkwy, Ste 104, Alameda, CA 94502 | 2016-05-05 |
| 1235569609 | Native American Health Center | Community/Behavioral Health | 1151 Harbor Pkwy, Alameda, CA 94502 | 2013-11-20 |
| 1215286893 | Alliant International University | Community/Behavioral Health | 200 Aughinbaugh, Alameda, CA 94502 | 2012-08-29 |
| 1649474826 | Community Health for Asian Americans | Community/Behavioral Health | 1141 Harbor Bay Pkwy # 105, Alameda, CA 94502 | 2007-06-12 |
| 1245374750 | Connie Conley Jung | Psychologist | 1151 Harbor Bay Parkway #137, Alemeda, CA 94502 | 2007-02-16 |
| 1760569511 | Pamela B Wain | Physical Therapist | 502 Lagunaria Lane, Alameda, CA 94502 | 2006-11-01 |
| 1073562856 | Michael F Britt | Optometrist | 887a Island Dr, Alameda, CA 94502 | 2006-05-09 |
| 1104111483 | Golden Pacific Home Health, Inc. | Home Health | 1151 Harbor Bay Parkway, Suite 101, Alameda, CA 94502-1476 | 2011-06-14 |
| 1073153193 | Michele Mason Cushner | Acupuncturist | 2179 Harbor Bay Pkwy, Alameda, CA 94502-3019 | 2020-01-07 |
| 1124292834 | Peter Chen | Dentist | 2181 Harbor Bay Pkwy, Alameda, CA 94502-3019 | 2008-04-15 |
| Find all providers in zip 94502 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316554165 | Darrah Whitman Jones | Student in an Organized Health Care Education/Training Program | 1105 Central Ave, Alameda, CA 94501-2307 | 2020-09-25 |
| 1871121392 | Anna Guo | Student in an Organized Health Care Education/Training Program | 318 Central Ave Apt C, Alameda, CA 94501-3519 | 2020-03-30 |
| 1023641115 | Brendan Michael Ray | Student in an Organized Health Care Education/Training Program | 535 Buena Vista Ave Apt 216, Alameda, CA 94501-2054 | 2020-02-17 |
| 1124681192 | Troy Dufrene | Student in an Organized Health Care Education/Training Program | 2137 San Antonio Ave, Alameda, CA 94501-4326 | 2019-04-16 |
| 1184180259 | Lai Hong Pang | Student in an Organized Health Care Education/Training Program | 611 Taylor Ave, Alameda, CA 94501-3319 | 2019-02-13 |
| 1306353297 | Danielle M Gordon | Student in an Organized Health Care Education/Training Program | 2214 Santa Clara Ave, Alameda, CA 94501-4417 | 2018-01-02 |
| 1073915062 | Namie Lee | Student in an Organized Health Care Education/Training Program | 1080 Marina Village Parkway #100, Alameda, CA 94501 | 2014-09-22 |
| 1073957700 | Kieu T Nguyen | Student in an Organized Health Care Education/Training Program | 2626 Encinal Ave, Alameda, CA 94501-4649 | 2013-04-24 |
| 1710223615 | Julie Susanne Bergen | Student in an Organized Health Care Education/Training Program | 1038 Santa Clara Ave Apt A, Alameda, CA 94501-2330 | 2012-12-20 |
| 1730470840 | Jennifer Munro | Student in an Organized Health Care Education/Training Program | 902 Otis Dr, Alameda, CA 94501-5620 | 2011-04-22 |
| Find all providers in ALAMEDA | ||||
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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.