GRACE PARK (NPI# 1639707573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639707573 |
Entity Type | Individual |
Full Name | GRACE PARK |
Practice Address |
400 W Mineral King Ave Visalia CA 93291-6237 |
Practice Telephone | 5596242000 |
Enumeration Date | 2020-03-27 |
Last Update Date | 2020-03-27 |
Gender Code | F |
Is Sole Proprietor | Y |
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 |
---|---|---|---|---|
1679970859 | Grace Park | Chiropractor | 20627 Golden Springs Dr., 2-b, Diamond Bar, CA 91789 | 2014-12-03 |
1710261243 | Grace Eunhye Park | Pharmacist | 125-133 3rd Ave, New York, NY 10003-2543 | 2011-10-03 |
1164677464 | Grace Jiyoung Park | Family Medicine | 15446 S. Western Ave, Southern California Permanente Medical Group, Gardena, CA 90249 | 2008-12-01 |
1619147592 | Grace Lee Park | Family Medicine | 1109 S. Lincoln Ave., Mckinley Health Center, Urbana, IL 61801 | 2008-03-06 |
1033311634 | Grace S Park | Acupuncturist | 7122 Bon Villa Cir, La Palma, CA 90623-1167 | 2007-06-05 |
1871602722 | Grace Eunkyoung Park | Dentist | 1024 Sw Highland Dr, #a, Gresham, OR 97080-6353 | 2006-08-30 |
1770551954 | Grace E. Park | Pharmacist | 11655 Riverside Dr, North Hollywood, CA 91602-1021 | 2006-03-14 |
1730739152 | Grace Hyeyoung Park | Pharmacist | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2019-09-17 |
1407410004 | Grace Park | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Charlottesville, VA 22908-0816 | 2019-04-29 |
1275092249 | Grace Eun Park | Behavior Technician | 3230 E Imperial Hwy Ste 203, Brea, CA 92821-1706 | 2019-03-18 |
Street Address |
400 W MINERAL KING AVE |
City | VISALIA |
State | CA |
Zip Code | 93291-6237 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588663769 | Kaweah Delta Health Care District | General Acute Care Hospital | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2005-07-19 |
1831703602 | Elizabeth Emily Swanson | Nurse Anesthetist, Certified Registered | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-08-31 |
1619589512 | Oak Creek Anesthesia Services, Inc. | Anesthesiology | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-08-21 |
1265044283 | Leanne Frances Sapad-trevino | Dietitian, Registered | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-08-20 |
1760093611 | Melanie Anne Logue | Dietitian, Registered | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-08-13 |
1396354510 | Christian Panaligan | Nurse Anesthetist, Certified Registered | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-07-23 |
1043828130 | Mary Jane Tran | Pharmacist | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-07-15 |
1073138608 | Amari Medical Corp | Family Medicine | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-06-09 |
1437772423 | Kyle Webster | Physician Assistant | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-05-25 |
1285255505 | Stacey Smith | Nurse Practitioner | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-04-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255964854 | Stephanie Janae Ybarra | Orthotist | 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 | 2020-02-21 |
1689223067 | Patricia Mari Marquez | Technician | 32481 Road 127, Visalia, CA 93291 | 2019-09-09 |
1942767710 | Jeremy Clifton Mccallister | Counselor | 120 W. School Ave., Visalia, CA 93291 | 2019-02-27 |
1568975290 | Kaweah Delta Health Care District | Clinic/Center | 3600 Flagstaff Avenue, Visalia, CA 93291 | 2017-11-16 |
1932625308 | Christina Gonzalez | Counselor | New Hope, 212 N. Stevenson, Visalia, CA 93291 | 2017-08-17 |
1629598545 | Estherose Molina | Assistant Behavior Analyst | 5445 W. Sweet Drive, Visalia, CA 93291 | 2017-06-21 |
1487195988 | Brenda Rodriguez | Case Manager/Care Coordinator | 546 East Tulare Ave, Visalia, CA 93291 | 2017-03-16 |
1295181857 | David James Tsuneji Fujihara | Emergency Medicine | 400 W. Mineral King Ave, Visalia, CA 93291 | 2016-05-12 |
1326409343 | Bay Area Surgical Specialists, Inc A Medical Corporation | Pain Medicine | 5127 W Noble Ave, Visalia, CA 93291 | 2016-03-18 |
1932585700 | Charles Dominick Trentacosti | Occupational Therapy Assistant | 514 N Bridge St, Visalia, CA 93291 | 2015-08-04 |
Find all providers in zip 93291 |
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 |
---|---|---|---|---|
1972063030 | Amberly Miranda Cancino | Student in an Organized Health Care Education/Training Program | 3128 S Linwood St, Visalia, CA 93277-6928 | 2019-03-23 |
1336583368 | Bao Vue | Student in an Organized Health Care Education/Training Program | 1938 E Country Ave, Visalia, CA 93292-1233 | 2013-04-22 |
1881202315 | Stephanie Danielle Crawford | Student in an Organized Health Care Education/Training Program | 520 E Tulare Ave, Visalia, CA 93292-3629 | 2020-07-21 |
1023637212 | Jaclyn N Lundberg | Student in an Organized Health Care Education/Training Program | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-04-09 |
1922627009 | Reshma Shiwdin | Student in an Organized Health Care Education/Training Program | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-04-09 |
1588283766 | Charles Wong | Student in an Organized Health Care Education/Training Program | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-04-08 |
1629697800 | Brent Patrick Twiford | Student in an Organized Health Care Education/Training Program | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-04-08 |
1023637261 | Preya S Sheth | Student in an Organized Health Care Education/Training Program | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-04-08 |
1861021222 | Scott Daniel | Student in an Organized Health Care Education/Training Program | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-04-07 |
1245869601 | Roxanne Talamayan-pascua | Student in an Organized Health Care Education/Training Program | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-04-07 |
Find all providers in VISALIA |
Please comment or provide details below to improve the information on GRACE PARK.
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.