MAGGIE PARK (NPI# 1639290463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639290463 |
| Entity Type | Individual |
| Full Name | MAGGIE PARK |
| Practice Address |
7210 Murray Dr Stockton CA 95210 |
| Mailing Address |
7210 Murray Dr Stockton CA 95210-3339 |
| Practice Telephone | 2093732800 |
| Mailing Telephone | 2093732800 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2012-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A79109 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
7210 MURRAY DR |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093872483 | Bindu Kanathezhath Sathi | Pediatrics | 7210 Murray Dr, Stockton, CA 95210-3339 | 2007-01-03 |
| 1023647021 | Torrie Alyn-hughes Piasecki | Social Worker | 7210 Murray Dr, Stockton, CA 95210-3339 | 2020-04-02 |
| 1972139079 | Karen Lee | Nurse Practitioner | 7210 Murray Dr, Stockton, CA 95210-3339 | 2020-03-20 |
| 1093365371 | Oanh T Nguyen | Counselor | 7210 Murray Dr, Stockton, CA 95210-3339 | 2019-09-18 |
| 1215496062 | Patricia Valencia | Social Worker | 7210 Murray Dr, Stockton, CA 95210-3339 | 2019-03-19 |
| 1467911685 | Savannah Grace Keller | Nurse Practitioner | 7210 Murray Dr, Stockton, CA 95210-3339 | 2019-03-18 |
| 1457816803 | Megan Lee Stevens | Social Worker | 7210 Murray Dr, Stockton, CA 95210-3339 | 2019-02-08 |
| 1881161479 | Amaninder Mann | Dental Hygienist | 7210 Murray Dr, Stockton, CA 95210-3339 | 2018-11-01 |
| 1851872378 | Jonathan O'brien | Physician Assistant | 7210 Murray Dr, Stockton, CA 95210-3339 | 2018-08-23 |
| 1356830384 | Louis E Herzog | Registered Nurse | 7210 Murray Dr, Stockton, CA 95210 | 2018-05-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649496597 | Geny B. Burgos M. D. Inc. | Pediatrics | 1801 E March Ln Ste C340, Stockton, CA 95210-6629 | 2007-04-18 |
| 1164588463 | Beverly Morgan | Pediatrics | 2233 Grand Canal Blvd Ste 105, Stockton, CA 95207-8117 | 2006-12-29 |
| 1427128990 | Kamela Taheri | Pediatrics | 1721 E Hammer Ln, Stockton, CA 95210-4124 | 2006-11-09 |
| 1316025810 | Loan K. Bui-thompson | Pediatrics | 2349 N. California St., Stockton, CA 95204-5505 | 2006-11-01 |
| 1265534416 | Blesilda Palado Esteves | Pediatrics | 75 West March Lane, Ste K, Stockton, CA 95207 | 2006-09-01 |
| 1790799575 | Hilario Sabarillo Esguerra IIi | Pediatrics | 73 W March Lane Suite F, Stockton, CA 95207 | 2006-07-28 |
| 1811918931 | Stockton Pediatric Med. Group, Inc. | Pediatrics | 2349 N California St, Stockton, CA 95204-5505 | 2006-07-22 |
| 1376574616 | Susan M Abraham | Pediatrics | 1414 N California St, Stockton, CA 95202-1515 | 2006-07-05 |
| 1154359172 | Bryant Bennett Williams Jr. | Pediatrics | 1339 S Madison St, Stockton, CA 95206-1751 | 2006-06-29 |
| 1851328991 | Charles Robert Mccormick | Pediatrics | 1240 W Robinhood Dr, Suite G, Stockton, CA 95207-5507 | 2006-06-26 |
| Find all providers in STOCKTON | ||||
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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.