DANIEL PARK


Address: 3300 Douglas Blvd Ste 405, Roseville, CA 95661-3841
Phone: 8473379051

DANIEL PARK (NPI# 1518197938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Providers DANIEL PARK

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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

Office Location

Street Address 3300 DOUGLAS BLVD STE 405
City ROSEVILLE
State CA
Zip Code 95661-3841

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City ROSEVILLE
Zip Code 95661

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Dataset Information

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.

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