DR. CHAN H. PARK (NPI# 1255336665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255336665 |
| Entity Type | Individual |
| Full Name | DR. CHAN H. PARK |
| Other Name | STEVE PARK |
| Credential | M.D. |
| Practice Address |
9500 Stockdale Hwy Suite 203 Bakersfield CA 93311-3620 |
| Practice Telephone | 6615878110 |
| Practice Fax Number | 6615878220 |
| Mailing Telephone | 6615878110 |
| Mailing Fax Number | 6615878220 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2016-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A068509 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828963 | Chan Ho Park | Physician Assistant | 4721 Oakwood Ave, Los Angeles, CA 90004-3112 | 2020-10-14 |
| 1508404492 | Chan Jin Park | Acupuncturist | 21537 48th Ave Apt 2b, Bayside, NY 11364-1359 | 2019-12-11 |
| 1700147378 | Chan H Park | Internal Medicine | 22226 Cliff Ave S, #304, Des Moines, WA 98198-4619 | 2012-05-30 |
| 1760644280 | Chan Woo Park | Otolaryngology | 90 Bergen Street- Suite 8100, Department of Otolaryngology, Doc Building, Newark, NJ 07103 | 2008-06-26 |
| 1700092103 | Chan Hoon Park | Family Medicine | 905 Victory Hwy, Slatersville, RI 02876 | 2007-05-15 |
| 1871617027 | Chan M Park | Dentist | 111 Deerwood Rd Ste 130, San Ramon, CA 94583-2194 | 2007-03-16 |
| 1457467037 | Chan M Park | Family Medicine | 6460 Greensboro Rd, Ridgeway, VA 24148-3478 | 2006-08-23 |
| 1619940681 | Chan S. Park | Emergency Medicine | Michumi, Pllc Dba Med Express of Williamsburg, Va, 120 Monticello Ave, Williamsburg, VA 23185 | 2006-02-09 |
| 1366071045 | Chan Young Park | Student in an Organized Health Care Education/Training Program | 11301 Wilshire Blvd Bldg 500, Los Angeles, CA 90073-1003 | 2020-04-05 |
| 1932498722 | Chan Jerome Park | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 600 Highland Ave, Madison, WI 53792-0001 | 2011-03-31 |
| Street Address |
9500 STOCKDALE HWY SUITE 203 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93311-3620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629442728 | Emergency Physicians Urgent Care Inc. | Clinic/Center | 9500 Stockdale Hwy, Suite 100, Bakersfield, CA 93311-3620 | 2015-11-30 |
| 1457744534 | Retina Institute of California | Optometrist | 9500 Stockdale Hwy, Ste. 108, Bakersfield, CA 93311-3620 | 2015-03-12 |
| 1689012452 | Angela Nguyen | Physician Assistant | 9500 Stockdale Hwy, Suite 201, Bakersfield, CA 93311-3620 | 2013-06-13 |
| 1821348392 | Charles D Wong Do Medical Corporation | Surgery | 9500 Stockdale Hwy, Suite 109, Bakersfield, CA 93311-3620 | 2012-09-12 |
| 1689997694 | Nathan Paul Cloar | General Practice | 9500 Stockdale Hwy, Suite 100, Bakersfield, CA 93311-3620 | 2010-03-04 |
| 1376875039 | Premier Family Practice Associates | Family Medicine | 9500 Stockdale Hwy, Suite 201, Bakersfield, CA 93311-3620 | 2010-02-05 |
| 1225291925 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 9500 Stockdale Hwy, Suites 100 & 103, Bakersfield, CA 93311-3620 | 2008-07-03 |
| 1255508131 | Charles David Wong | Surgery | 9500 Stockdale Hwy, Suite #109, Bakersfield, CA 93311-3620 | 2008-05-10 |
| 1578733739 | Davia Cheri Starkey | Physician Assistant | 9500 Stockdale Hwy, Bakersfield, CA 93311-3620 | 2008-03-04 |
| 1083805444 | Occupational Health Centers of California | Clinic/Center | 9500 Stockdale Hwy, Suites 100 & 103, Bakersfield, CA 93311 | 2007-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469030 | Bk New Age. Inc. | Internal Medicine | 11703 Privet Pl, Bakersfield, CA 93311 | 2019-10-23 |
| 1245713197 | Brandon Mccullough | Dentist | 11120 Stockdale Hwy, #103, Bakersfield, CA 93311 | 2018-09-06 |
| 1871001602 | Centric Health | Internal Medicine | 4531 Buena Vista Rd, Bakersfield, CA 93311 | 2018-01-15 |
| 1518484971 | Alexandria Noelle Wilson | Specialist/Technologist | 9800 Green Oak Pl, Bakersfield, CA 93311 | 2017-08-26 |
| 1477093169 | Vishnu Patel | Pharmacist | 11500 Wakehurst Ct, Bakersfield, CA 93311 | 2017-03-01 |
| 1487102364 | Christina Lewis | Nurse Practitioner | 9900 Stockdale Hwy Ste 203, Bakersfield, CA 93311 | 2016-09-20 |
| 1629424866 | New Horizon Surgical Center, LLC | Clinic/Center | 4500 Trade Center Drive, Bakersfield, CA 93311 | 2016-05-06 |
| 1316300767 | Ellen Mccrary | Optometrist | 9000 Ming Ave Ste L1-b, Bakersfield, CA 93311 | 2016-04-02 |
| 1083076764 | Pratik Patel | Dentist | 8701 Camino Media Ste A, Bakersfield, CA 93311 | 2016-03-22 |
| 1194196832 | Providence Medical Group | General Acute Care Hospital | 1806 Wadsworth Avenue, Bakersfield, CA 93311 | 2015-10-07 |
| Find all providers in zip 93311 | ||||
| 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 |
|---|---|---|---|---|
| 1831790112 | Universal Healthcare Services, Inc. | Family Medicine | 6025 Niles St, Bakersfield, CA 93306-4696 | 2020-11-04 |
| 1265068092 | Universal Healthcare Services, Inc. | Family Medicine | 2123 Niles Street, Bakersfield, CA 93305-5007 | 2020-03-12 |
| 1326693524 | Yaqsa, Inc. | Family Medicine | 4040 San Dimas St Ste A, Bakersfield, CA 93301-1299 | 2019-08-05 |
| 1477117240 | Kristi Sakamoto | Family Medicine | 9330 Stockdale Hwy Ste 200, Bakersfield, CA 93311-3615 | 2019-04-26 |
| 1568928471 | Natalia Obando Cabrejo | Family Medicine | 9880 Brimhall Rd Unit 100, Bakersfield, CA 93312-2799 | 2019-02-15 |
| 1538623541 | Universal Healthcare Services, Inc. | Family Medicine | 8325 Brimhall Rd Ste 100a, Bakersfield, CA 93312-2244 | 2019-01-23 |
| 1508320797 | Universal Healthcare Services, Inc. | Family Medicine | 2734 Ming Ave, Bakersfield, CA 93304-4431 | 2019-01-22 |
| 1023502853 | Kendall Christine Lubatti | Family Medicine | 8307 Brimhall Rd Ste 1707, Bakersfield, CA 93312-4343 | 2018-06-15 |
| 1588153126 | Infusion and Clinical Services, Inc | Family Medicine | 5401 White Ln Ste A, Bakersfield, CA 93309-6279 | 2018-05-09 |
| 1629576384 | Universal Urgent Care, PC | Family Medicine | 2728 Ming Ave, Bakersfield, CA 93304-4431 | 2018-01-29 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93311 |
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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.