CHRISTINE PARK (NPI# 1417492950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417492950 |
| Entity Type | Individual |
| Full Name | CHRISTINE PARK |
| Credential | PA-C |
| Practice Address |
301 Old San Francisco Rd Sunnyvale CA 94086-6386 |
| Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
| Practice Telephone | 4085234360 |
| Mailing Telephone | 4085234360 |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2020-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 54048 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184113102 | Christine Park | Behavior Technician | 429 Cedar Ct S, Buffalo Grove, IL 60089-6627 | 2018-05-04 |
| 1164949780 | Christine S. Park | Psychologist | 6020 Constitution Ave Ne Ste 4, Albuquerque, NM 87110-5931 | 2017-08-24 |
| 1386038842 | Christine Park | Counselor | 45-445 Pua Inia St, Kaneohe, HI 96744-2937 | 2015-03-23 |
| 1861698326 | Christine Park | Dentist | Unit 15660, Apo, AP 96271-5660 | 2007-06-22 |
| 1417947052 | Christine Park | Anesthesiology | 1740 W Taylor St # 3200w, Chicago, IL 60612-7232 | 2005-10-25 |
| 1760048565 | Christine Park | Speech-Language Pathologist | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2019-05-16 |
| 1922568500 | Christine Miran Park | Student in an Organized Health Care Education/Training Program | 505 E 70th St, New York, NY 10021-4872 | 2019-03-21 |
| 1639637408 | Christine S Park | Student in an Organized Health Care Education/Training Program | 345 E 24th St, New York, NY 10010-4020 | 2019-03-11 |
| 1326532797 | Christine Park | Pharmacist | 2301 Ranch Road 620 S, Lakeway, TX 78734-6240 | 2018-06-19 |
| 1417479775 | Christine Park | Physician Assistant | 1450 San Pablo St Ste 5100, Los Angeles, CA 90033-4500 | 2017-07-07 |
| Street Address |
301 OLD SAN FRANCISCO RD |
| City | SUNNYVALE |
| State | CA |
| Zip Code | 94086-6386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144263542 | Julianne O'malley | Pediatrics | 301 Old San Francisco Rd, Sunnyvale, CA 94086-6386 | 2006-06-14 |
| 1649810169 | Meghan Mendiola | Nurse Practitioner | 301 Old San Francisco Rd, Sunnyvale, CA 94086-6386 | 2020-01-13 |
| 1407407851 | Brita Christenson | Genetic Counselor, MS | 301 Old San Francisco Rd, Sunnyvale, CA 94086-6386 | 2019-09-26 |
| 1598230617 | Jacqueline Guzman | Acupuncturist | 301 Old San Francisco Rd, Sunnyvale, CA 94086-6386 | 2018-10-04 |
| 1952884884 | Debbi Friedman | Social Worker | 301 Old San Francisco Rd, Sunnyvale, CA 94086-6386 | 2018-09-06 |
| 1093291379 | Rahwa Haile | Nurse Practitioner | 301 Old San Francisco Rd, Sunnyvale, CA 94086-6386 | 2018-07-19 |
| 1891202248 | Heidi Stein | Social Worker | 301 Old San Francisco Rd, Sunnyvale, CA 94086-6386 | 2018-01-08 |
| 1750807764 | Christine Sangmi Chang | Pediatrics | 301 Old San Francisco Rd, Sunnyvale, CA 94086-6386 | 2017-08-22 |
| 1720502693 | Joana Sun | Nurse Practitioner | 301 Old San Francisco Rd, Sunnyvale, CA 94086-6386 | 2017-08-01 |
| 1730612581 | Nikita Fernandes | Internal Medicine | 301 Old San Francisco Rd, Sunnyvale, CA 94086-6386 | 2017-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902329204 | Mona Mirtaheri | Psychologist | 999 W Evelyn Ter. Apt 73, Sunnyvale, CA 94086 | 2017-07-19 |
| 1255861407 | Rosanna Lee | Pharmacist | 756 E El Camino Real, Sunnyvale, CA 94086 | 2017-06-19 |
| 1700293180 | Andrea Thoma | Physical Therapist | 582 South Sunnyvale Avenue, Sunnyvale, CA 94086 | 2014-07-17 |
| 1831538966 | Wen Sheng Mu | Acupuncturist | 1201 Sycamore Terrace, Space 186, Sunnyvale, CA 94086 | 2013-06-21 |
| 1437415114 | Stacy O'leary | Marriage & Family Therapist | 1021 S Wolfe Rd Ste 255, Sunnyvale, CA 94086 | 2012-04-06 |
| 1043504947 | Lissette N/a Moore-guerra | Social Worker | 660 S Fair Oaks, Vhc At Sunnyvale, Sunnyvale, CA 94086 | 2011-06-08 |
| 1871895524 | Mu Zhang | Optometrist | 196 Barranca Ter, Sunnyvale, CA 94086 | 2010-12-01 |
| 1811218282 | Family Healthcare Center | Acupuncturist | 520 S Murphy Ave, Sunnyvale, CA 94086 | 2010-06-18 |
| 1528382975 | Yvonne Sarles | Physical Therapy Assistant | 260 S. Sunnyvale Avenue, #9, Sunnyvale, CA 94086 | 2010-03-15 |
| 1043545767 | Rachel Yeonsoo Suhr | Social Worker | 660 S. Fairoaks Avenue, Sunnyvale, CA 94086 | 2009-10-14 |
| Find all providers in zip 94086 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124506407 | Zhi-fang Tsun | Physician Assistant | 1104 Lund Ter, Sunnyvale, CA 94089-4504 | 2018-07-30 |
| 1902339567 | Jennifer Sperlich | Physician Assistant | 341 Wheatfield Dr Ste 190, Sunnyvale, TX 75182-4639 | 2017-04-10 |
| 1952719882 | Gilbert Aragon | Physician Assistant | 821 Alvarado Ave, Sunnyvale, CA 94085-3403 | 2014-07-23 |
| 1316350796 | Lala Corina Rodriguez | Physician Assistant | 1030 E El Camino Real, Pmb 163, Sunnyvale, CA 94087-3759 | 2014-06-03 |
| 1255765723 | Rebecca Ann Boyle | Physician Assistant | 1705 Mackenzie Dr, Sunnyvale, CA 94087-5239 | 2013-09-03 |
| 1881688471 | Jurry E. Van Ark | Physician Assistant | 231 South Collins, Sunnyvale, TX 75182-4624 | 2005-09-09 |
| 1942209333 | Edward M Sullivan | Physician Assistant | 341 Wheatfield Dr, Suite 190, Sunnyvale, TX 75182-4638 | 2005-07-18 |
| 1104482181 | Mary Hoang | Physician Assistant | 341 Wheatfield Dr Ste 190, Sunnyvale, TX 75182-4639 | 2019-05-14 |
| 1508347147 | Paige Potter | Physician Assistant | 490 Us Highway 80 E Ste 200, Sunnyvale, TX 75182-9212 | 2018-08-22 |
| 1376081661 | Candice M Cameron | Physician Assistant | 803 Eleventh Ave, Sunnyvale, CA 94089-4731 | 2017-02-07 |
| Find all providers in SUNNYVALE | ||||
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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.