DR. STEVEN PARK (NPI# 1538572680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538572680 |
| Entity Type | Individual |
| Full Name | DR. STEVEN PARK |
| Credential | M.D. |
| Practice Address |
9961 Sierra Ave Fontana CA 92335-6720 |
| Mailing Address |
17234 Valley Boulevard Fontana CA 92335 |
| Practice Telephone | 9094272608 |
| Practice Fax Number | 9094275312 |
| Mailing Telephone | 9094272608 |
| Mailing Fax Number | 9094275312 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649392945 | Steven Yong Park | Dentist | 3246 W Sepulveda Blvd # 105, Torrance, CA 90505-2774 | 2007-04-06 |
| 1962477042 | Steven Young Park | Otolaryngology | 3400 Bainbridge Ave # Map3, Bronx, NY 10467-2404 | 2006-02-22 |
| 1396300323 | Steven Park | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box Med, Rochester, NY 14642-0001 | 2019-05-06 |
| 1629447925 | Steven Yeong-soo Park | Physical Therapist | 735 Sw 158th Ave, Suite 160, Beaverton, OR 97006-4952 | 2015-09-17 |
| 1730306374 | Steven J Park | Optometrist | 395 Cascade Mall Dr, Burlington, WA 98233-3255 | 2007-04-18 |
| 1891707709 | Steven Park | Internal Medicine | 100 Medical Park Dr, Ste 110, Concord, NC 28025-2948 | 2006-08-12 |
| 1033144928 | Steven T Park | Internal Medicine | 101 The City Dr S, Orange, CA 92868-3201 | 2006-07-11 |
| 1457385817 | Steven Earl Park | Surgery | 10506 Montgomery Road, Suite 302, Cincinnati, OH 45242 | 2006-07-10 |
| 1720049927 | Steven L Park | Nurse Anesthetist, Certified Registered | 407 S White St, N/a, Mount Pleasant, IA 52641-2262 | 2006-03-29 |
| 1104897495 | Steven K. Park | Internal Medicine | 1011 Baldwin Park Blvd, Hospitalist Office, Baldwin Park, CA 91706-5806 | 2006-01-27 |
| Street Address |
9961 SIERRA AVE |
| City | FONTANA |
| State | CA |
| Zip Code | 92335-6720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560199 | Barbara Ann Mahoney | Nurse Practitioner | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2005-06-29 |
| 1023629979 | Whitney Mah | Speech-Language Pathologist | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-08-13 |
| 1083224166 | Jennifer Hull | Genetic Counselor, MS | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-08-04 |
| 1568081842 | Jorge Kareem Sierra | Radiologic Technologist | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-04-16 |
| 1821625963 | Syed Sajjad Sarwar Naqvi | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-26 |
| 1730716903 | Hannah Choi | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-26 |
| 1912534413 | Mia Raquel Montoya | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
| 1093342461 | Jennica Kahkejian | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
| 1881221299 | Youstina Youssef | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
| 1790312015 | Sara Tong | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760019798 | John Le | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd Building A, Fontana, CA 92335-6720 | 2020-03-27 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1376027649 | Jose Antonio Sanchez Jr. | Student in an Organized Health Care Education/Training Program | 16487 El Molino Ct, Fontana, CA 92335-6513 | 2018-09-21 |
| 1861923963 | Caitlin Francoisse | Student in an Organized Health Care Education/Training Program | 14068 Champlain Ct, Fontana, CA 92336-3505 | 2017-03-21 |
| 1487102729 | Elisa Arteaga | Student in an Organized Health Care Education/Training Program | 15372 Aveiro Rd, Fontana, CA 92337-0979 | 2016-09-15 |
| 1780070268 | Victoria Shar Tecson | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Fontana, CA 92335 | 2015-04-10 |
| 1669867115 | Jonathan Isaiah Smith | Student in an Organized Health Care Education/Training Program | 17234 Valley Boulevard, Fontana, CA 92335 | 2015-04-01 |
| 1538508445 | Ershad Forghani-arani | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave # Mob1, Fontana, CA 92335-6720 | 2013-06-24 |
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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.