GRACE PARK


Address: 400 W Mineral King Ave, Visalia, CA 93291-6237
Phone: 5596242000

GRACE PARK (NPI# 1639707573) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers GRACE PARK

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

Office Location

Street Address 400 W MINERAL KING AVE
City VISALIA
State CA
Zip Code 93291-6237

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City VISALIA
Zip Code 93291

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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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