DANIEL PARK (NPI# 1518197938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518197938 |
Entity Type | Individual |
Full Name | DANIEL PARK |
Practice Address |
3300 Douglas Blvd Ste 405 Roseville CA 95661-3841 |
Mailing Address |
3300 Douglas Blvd., Suite 405 Roseville CA 95611 |
Practice Telephone | 8473379051 |
Mailing Telephone | 8473379051 |
Enumeration Date | 2009-07-20 |
Last Update Date | 2012-04-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
A120791 | CA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301094367 | MI | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376070359 | Daniel Ilwoo Park | General Practice | Building S-555, Apo, AP 96271 | 2017-05-22 |
1740739531 | Daniel Ingun Park | Physical Therapist | 4214 162nd St Fl 1, Flushing, NY 11358-4156 | 2016-09-22 |
1649605262 | Daniel Y Park | Physical Therapist | 1001 Kamokila Blvd Ste 127, Kapolei, HI 96707-2097 | 2013-09-13 |
1699054577 | Daniel Ilwoo Park | Massage Therapist | 15433 Country Club Dr, Unit A206, Mill Creek, WA 98012-1260 | 2011-08-10 |
1447581186 | Daniel Jinsang Park | Dentist | 6777 Westminster Blvd Ste C, Westminster, CA 92683-8057 | 2010-01-20 |
1952546533 | Daniel Park | Plastic Surgery | 2285 Asquith Ave Sw Ste 200, Marietta, GA 30008 | 2008-12-10 |
1124201801 | Daniel Park | Psychiatry & Neurology | 1707 W Charleston Blvd Ste 200, Las Vegas, NV 89102-2353 | 2007-12-17 |
1598882029 | Daniel I Park | Denturist | 30816 Pacific Hwy S, Federal Way, WA 98003-4902 | 2007-03-22 |
1831239391 | Daniel Do Young Park | Family Medicine | 6019 Roosevelt Ave, Suite #201, Woodside, NY 11377-3537 | 2007-02-07 |
1598803116 | Daniel C Park | Dentist | 1202 Beaumont Ave, Beaumont, CA 92223-1506 | 2007-02-03 |
Street Address |
3300 DOUGLAS BLVD STE 405 |
City | ROSEVILLE |
State | CA |
Zip Code | 95661-3841 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
Find all providers in zip 95661 |
Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801120035 | Emergency Neurosurgery Services Medical Group, Inc. | Emergency Medicine | 1301 Secret Ravine Pkwy, Ste 200, Roseville, CA 95661-3096 | 2009-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619576576 | Thethong P Thepvong | Emergency Medicine | 900 W Belgravia Ave, Fresno, CA 93706-3909 | 2020-10-21 |
1003441148 | Heather K Mineo | Emergency Medicine | 1908 Spahn Ln, Placentia, CA 92870-2844 | 2020-03-10 |
1407497837 | Jaskaranpreet Kaur Sahota | Emergency Medicine | 426 4th Street, Marysville, CA 95901 | 2019-10-07 |
1215493515 | Karla Beatriz Sonnier | Emergency Medicine | 17822 Cardiff Cir, Huntington Beach, CA 92649-4807 | 2019-02-12 |
1568992923 | American Specialty Physicians Group Inc | Emergency Medicine | 700 17th St Ste 205, Modesto, CA 95354-1249 | 2017-06-18 |
1841659067 | George Michael Savage | Emergency Medicine | 2600 Bridge Parkway, Proteus Digital Health, Redwood City, CA 94065 | 2016-02-16 |
1053779553 | Robert Alan Hochman | Emergency Medicine | 526 Firecrest Court, Newbury Park, CA 91320-5022 | 2016-01-29 |
1578954319 | Amerco Health Enterprise, Inc | Emergency Medicine | 1006 E Bastanchury Rd, Fullerton, CA 92835-2782 | 2015-02-16 |
1134543945 | Francine Vogler | Emergency Medicine | 22631 Pacific Coast Highway, #796, Malibu, CA 90265 | 2014-02-13 |
1396081659 | Kent Benedict | Emergency Medicine | 3283 Valencia Ave, Aptos, CA 95003-4122 | 2012-12-13 |
Find all providers with the same taxonomy |
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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.