MR. JAMES JONGTAK PARK (NPI# 1306871421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306871421 |
| Entity Type | Individual |
| Full Name | MR. JAMES JONGTAK PARK |
| Credential | D.O. |
| Practice Address |
17822 Beach Blvd Suite 419 Huntington Beach CA 92647-7101 |
| Mailing Address |
11 Flora Spgs Irvine CA 92602-2412 |
| Practice Telephone | 7148419922 |
| Practice Fax Number | 7148413292 |
| Mailing Telephone | 7148477392 |
| Mailing Fax Number | 7148477396 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
20A7365 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 00AX73650 | 01 |
| CA | BLUE SHIELD OF CALIFORNIA | ZZZ04904Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669764874 | James Park | Radiology | 6 Ohio Dr Ste 204, New Hyde Park, NY 11042-1129 | 2011-05-05 |
| 1881825586 | James D Park | Physical Therapy Assistant | 222 Morgan Ave, Ashland, OH 44805-3828 | 2009-07-30 |
| 1528229200 | James Park | Physical Therapist | 962 Kinderkamack Road, River Edge, NJ 07661-2331 | 2008-06-24 |
| 1770768871 | James Sang Yun Park | Dentist | 4971 Orange Ave, Cypress, CA 90630-2805 | 2008-01-08 |
| 1073713772 | James Sungsik Park | Internal Medicine | 530 1st Ave # Hcc4j, New York, NY 10016-6402 | 2007-07-20 |
| 1265554828 | James Jaehyun Park | Dentist | 4520 Mint Hill Village Ln, Unit #107, Mint Hill, NC 28227 | 2007-04-04 |
| 1134272719 | James Park | Dentist | 359 S Washington Ave, Bergenfield, NJ 07621-4311 | 2007-01-18 |
| 1902971344 | James Park | Acupuncturist | 709 W Whittier Blvd, Montebello, CA 90640-4709 | 2006-11-21 |
| 1922188754 | James R Park | Chiropractor | 1096 36th St, Ogden, UT 84403-2035 | 2006-10-16 |
| 1912014366 | James S Park | Chiropractor | 15027 Aurora Ave N, Shoreline, WA 98133-6134 | 2006-08-23 |
| Street Address |
17822 BEACH BLVD SUITE 419 |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92647-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546259 | Steven L Swartz | Podiatrist | 17822 Beach Blvd, Suite 407, Huntington Beach, CA 92647-7101 | 2005-05-24 |
| 1265986145 | Oc Neurology Clinic, Inc. | Clinic/Center | 17822 Beach Blvd, # 374, Huntington Beach, CA 92647-7101 | 2016-08-09 |
| 1770945883 | Westside Pain Management, Inc. | Anesthesiology | 17822 Beach Blvd, Ste 300, Huntington Beach, CA 92647 | 2016-03-28 |
| 1154713790 | Proactive Care Nursing, Inc | Nurse Practitioner | 17822 Beach Blvd, Suite 400, Huntington Beach, CA 92647-7101 | 2015-02-18 |
| 1093139792 | Richard B Mantell Md Inc | Dermatology | 17822 Beach Blvd, Suite 301, Huntington Beach, CA 92647-7101 | 2014-02-16 |
| 1740627934 | Yun Wang | Physician Assistant | 17822 Beach Blvd, Huntington Beach, CA 92647-7101 | 2013-05-28 |
| 1790039469 | C F Chin, Md Inc | Internal Medicine | 17822 Beach Blvd, Ste 252, Huntington Beach, CA 92647-7101 | 2012-11-02 |
| 1588911549 | Alamitos Dermatological Medical Clinic, Inc | Specialist | 17822 Beach Blvd, Suite 427, Huntington Beach, CA 92647-7101 | 2012-08-09 |
| 1831452002 | David Hellewell | Podiatrist | 17822 Beach Blvd, #407, Huntington Beach, CA 92647 | 2012-06-21 |
| 1356644967 | Arthur Calick, M.d., Inc | Internal Medicine | 17822 Beach Blvd, Suite 215, Huntington Beach, CA 92647 | 2010-12-21 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265946289 | Eagan Medical Group Inc | Psychiatry & Neurology | 7677 Center Ave Ste 208, Huntington Beach, CA 92647-9102 | 2017-11-29 |
| 1750812814 | Current Diagnostics Professional, LLC | Psychiatry & Neurology | 1825 Park St, Huntington Beach, CA 92648-2734 | 2017-03-21 |
| 1649567165 | Farzin Benjamin Pedouim | Psychiatry & Neurology | 18377 Beach Blvd Ste 330, Huntington Beach, CA 92648 | 2011-07-05 |
| 1205016284 | Richard M Sax | Psychiatry & Neurology | 16033 Bolsa Chica St Ste 104, Suite 602, Huntington Beach, CA 92649-2452 | 2007-11-07 |
| 1760423354 | Duk Hwan Kim | Psychiatry & Neurology | 8622 Masters Dr, Huntington Beach, CA 92646-4524 | 2006-06-08 |
| 1801449392 | Neurology and Cognitive Neuroscience Institute, Inc. | Psychiatry & Neurology | 18377 Beach Blvd Ste 330, Huntington Beach, CA 92648 | 2019-07-23 |
| 1295137602 | Zhanna Rapoport, Md, Inc. | Psychiatry & Neurology | 7677 Center Ave, Ste 200, Huntington Beach, CA 92647-3074 | 2014-09-17 |
| 1801222039 | Mp Advanced Neurology, Inc. | Psychiatry & Neurology | 19582 Beach Blvd, Huntington Beach, CA 92648-2996 | 2013-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352876 | Riverside Optimal Healthcare, Inc | Psychiatry & Neurology | 13320 Riverside Dr Ste 204, Sherman Oaks, CA 91423-2512 | 2020-10-08 |
| 1710592431 | Muhammad Amin | Psychiatry & Neurology | 33433 Pony Loop, Fremont, CA 94555-3511 | 2020-09-10 |
| 1558973792 | Catalyst Neuromedical Center PC | Psychiatry & Neurology | 3305 Placer St Ste B, Redding, CA 96001-2378 | 2020-08-19 |
| 1134730906 | West Coast Valley Medical Inc | Psychiatry & Neurology | 3357 Cahuenga Blvd W # 18, Los Angeles, CA 90068-1327 | 2020-08-13 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1427689256 | Alejandro F Centurion Md Inc | Psychiatry & Neurology | 100 Clock Tower Pl Ste 225, Carmel, CA 93923-8778 | 2020-01-30 |
| 1659901254 | Kern County Neurological Medical Group, Inc | Psychiatry & Neurology | 18645 Gale Ave Ste 228b, City of Industry, CA 91748-1363 | 2020-01-22 |
| 1609415314 | Aspire Holdings, Inc | Psychiatry & Neurology | 28212 Kelly Johnson Pkwy Ste 215, Valencia, CA 91355-5090 | 2019-12-27 |
| 1336785187 | Tp-health Ca PC | Psychiatry & Neurology | 201 E Center St Ste 112, Anaheim, CA 92805-7212 | 2019-11-26 |
| Find all providers with the same taxonomy | ||||
| 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.