MS. HYUN-JOO KERI PARK (NPI# 1497003750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497003750 |
| Entity Type | Individual |
| Full Name | MS. HYUN-JOO KERI PARK |
| Other Name | MS. KERI PARK |
| Credential | PA-C |
| Practice Address |
525 Roberts Ln Bakersfield CA 93308-4799 |
| Mailing Address |
Po Box 12922 Bakersfield CA 93389-2922 |
| Practice Telephone | 2137008208 |
| Mailing Telephone | 2137008208 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 22460 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
525 ROBERTS LN |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93308-4799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255335956 | Nagy Sadek Awadalla | Family Medicine | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2005-06-09 |
| 1235773680 | Susan Patricia Peretto | Registered Nurse | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2019-10-29 |
| 1144755034 | Brandy Oliver | Registered Nurse | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2017-04-27 |
| 1093020935 | Carol A Sackey | Registered Nurse | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2010-08-16 |
| 1265755359 | Art of Serenity | Clinic/Center | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2010-03-04 |
| 1063684413 | Omni Family Health | Clinical Medical Laboratory | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2008-03-26 |
| 1508044330 | Omni Family Health | Clinical Medical Laboratory | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2008-02-04 |
| 1568681690 | Omni Family Health | Clinic/Center | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2007-04-25 |
| 1548335920 | Neloufa R Merrill | Pediatrics | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2006-11-21 |
| 1700804556 | Omni Family Health | Clinical Medical Laboratory | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553435 | Advanced Recovery, LLC | Substance Abuse Rehabilitation Facility | 3801 Buck Owens Boulevard, Ste 105, Bakersfield, CA 93308 | 2020-03-18 |
| 1699321562 | Francisco Marquez Fuentes | Case Manager/Care Coordinator | 1197 Industry Farm Lane, Bakesfield, CA 93308 | 2019-08-15 |
| 1114571916 | Kern Health Systems | Exclusive Provider Organization | 2900 Buck Owens Blvd., Bakersfield, CA 93308 | 2019-07-30 |
| 1104396787 | Premier Associates Group, Inc. | Social Worker | 3512 Coffee Road Suite B, Bakersfield, CA 93308 | 2018-11-27 |
| 1295249191 | A&p Treatment Center, LLC | Surgery | 7910 Downing Avenue Suite 100, Bakersfield, CA 93308 | 2017-11-30 |
| 1558873448 | Nare Sahakyan | Pharmacist | 2620 N Chester Ave, Bakersfield, CA 93308 | 2017-10-31 |
| 1104352111 | Meghan Saphiloff | Nurse Practitioner | 3008 Sillect Ave Ste 210, Bakersfield, CA 93308 | 2017-05-11 |
| 1962938134 | Lauren Colella-emery | Licensed Vocational Nurse | 17695 Industrial Parkway, Bakersfield, CA 93308 | 2017-05-10 |
| 1437607926 | Bakersfieldidence Opco, LLC | Skilled Nursing Facility | 5151 Knudsen Dr., Bakersfield, CA 93308 | 2016-09-14 |
| 1578974150 | Patricia Denise Mcdermott | Licensed Vocational Nurse | 17695 Indrustrial Farm Road, Bakersfield, CA 93308 | 2014-05-16 |
| Find all providers in zip 93308 | ||||
| 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 |
|---|---|---|---|---|
| 1063010841 | Casey Carol Retiro Fulinara | Physician Assistant | 14801 Palm Ave, Bakersfield, CA 93314-9062 | 2020-10-13 |
| 1700490661 | Michael Avellan | Physician Assistant | 1102 Bluestone River Way, Bakersfield, CA 93311-9259 | 2020-09-08 |
| 1841801339 | Brianna Gonzalez | Physician Assistant | 3806 Waterfall Canyon Dr, Bakersfield, CA 93313-5516 | 2020-08-10 |
| 1083236244 | Janet Lechuga | Physician Assistant | 7722 Genivieve St, Bakersfield, CA 93307-7234 | 2020-05-11 |
| 1518593102 | Kristen Lauren Magpuri Mendes | Physician Assistant | 14100 Veracruz Dr, Bakersfield, CA 93314-8859 | 2020-03-16 |
| 1407488638 | Haley Trinh | Physician Assistant | 9330 Stockdale Hwy Ste 600, Bakersfield, CA 93311-3616 | 2020-02-05 |
| 1972146090 | Lauryn A Cooper | Physician Assistant | 5060 California Ave., Suite 620, Bakersfield, CA 93309 | 2019-10-21 |
| 1215597992 | Jessica Ann Force | Physician Assistant | 15001 Yokuts Ln, Bakersfield, CA 93306-9532 | 2019-06-16 |
| 1871153783 | Zulema Garcia | Physician Assistant | 5900 Baywood St, Bakersfield, CA 93309-8713 | 2019-06-13 |
| 1063075885 | Sylvia Seaton | Physician Assistant | 10001 Camino Media # 22822, Bakersfield, CA 93311-1310 | 2019-04-17 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93308 |
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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.