KATHERINE PARK (NPI# 1376886606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376886606 |
Entity Type | Individual |
Full Name | KATHERINE PARK |
Practice Address |
3160 Folsom Blvd Ste 2100 Sacramento CA 95816 |
Mailing Address |
3160 Folsom Blvd Ste 2100 Sacramento CA 95816-5266 |
Practice Telephone | 9167343588 |
Mailing Telephone | 9167343588 |
Enumeration Date | 2013-04-04 |
Last Update Date | 2019-09-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A134092 | CA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
2315 Stockton Blvd, Sacramento, CA 958172201 | 9167342011 | |
3160 Folsom Blvd Ste 2100, Sacramento, CA 95816 | 9167343588 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558861401 | Katherine Park | Advanced Practice Midwife | 210 Ark Rd Ste 216, Mount Laurel, NJ 08054-3188 | 2018-02-17 |
1912185786 | Katherine Hyunjoo Park | Pharmacist | 310 E 23rd St, New York, NY 10010-4702 | 2008-02-04 |
1639714561 | Katherine H Park | Occupational Therapist | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2019-11-14 |
1902465677 | Katherine Park | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Houston, TX 77030-3411 | 2019-06-06 |
1932661055 | Katherine Park | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2019-04-06 |
1740778687 | Katherine Park | Case Manager/Care Coordinator | 520 S Lafayette Park Place 3rd Floor, Los Angeles, CA 90057 | 2018-04-26 |
1437173614 | Katherine Elizabeth Park | Dentist | 40 Park Ave, #6, New York, NY 10016-3467 | 2006-07-27 |
Street Address |
3160 FOLSOM BLVD STE 2100 |
City | SACRAMENTO |
State | CA |
Zip Code | 95816 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609383827 | Janelle Renee Butters | Nurse Practitioner | 3160 Folsom Blvd Ste 2100, Sacramento, CA 95816-5266 | 2018-01-09 |
1306352349 | Parvaneh Gerami | Nurse Practitioner | 3160 Folsom Blvd Ste 2100, Sacramento, CA 95816-5266 | 2017-12-28 |
1205249968 | Olivia Tong | Psychiatry & Neurology | 3160 Folsom Blvd Ste 2100, Sacramento, CA 95816 | 2014-06-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
Find all providers in zip 95816 |
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 |
---|---|---|---|---|
1952738270 | Marshall Gollub | Psychiatry & Neurology | 1400 Jonas Ave., Sacramento, CA 95864 | 2013-10-01 |
1194160242 | Glen C Jickling | Psychiatry & Neurology | 2805 50th St, Rm 2415, Mind Institute, University of California Davis, Sacramento, CA 95817-2312 | 2013-05-02 |
1700926920 | Fred R Samimi, Md, A Professional Corporation | Psychiatry & Neurology | 8765 Center Pkwy, #d, Sacramento, CA 95823-7682 | 2007-02-07 |
1447315361 | Michael Gerald Adelberg | Psychiatry & Neurology | 9856 Business Park Dr, Suite I, Sacramento, CA 95827-1704 | 2006-12-22 |
1669556965 | Edwin A Cruz | Psychiatry & Neurology | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2006-10-24 |
1639190556 | Bryant Neal Sheehy | Psychiatry & Neurology | 3908 J Street, Suite 4, Sacramento, CA 95819 | 2006-07-23 |
1063450500 | Lynne Ann Love | Psychiatry & Neurology | 3727 Marconi Ave, Sacramento, CA 95821-5303 | 2006-06-04 |
1790741734 | Vasanthi Krishna | Psychiatry & Neurology | 87 Scripps Drive Suite 210, Sacramento, CA 95825-7977 | 2006-04-26 |
1407818503 | Nidal Ali Khalili | Psychiatry & Neurology | 7551 Timberlake Way, Ste 240, Sacramento, CA 95823-5422 | 2006-04-04 |
1649243528 | Rebecca S Jordan | Psychiatry & Neurology | 7600 Hospital Dr, Suite G, Sacramento, CA 95823-5406 | 2006-02-09 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95816 |
Please comment or provide details below to improve the information on KATHERINE 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.