JASON A PARK MD A PROFESIONAL MEDICAL CORPORATION (NPI# 1821449430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821449430 |
| Entity Type | Organization |
| Organization Name | JASON A PARK MD A PROFESIONAL MEDICAL CORPORATION |
| Practice Address |
1111 Exposition Blvd Ste 400a Sacramento CA 95815-4336 |
| Mailing Address |
1111 Exposition Blvd Building 400 Suite A Sacramento CA 95815-4314 |
| Practice Telephone | 9165702840 |
| Practice Fax Number | 9165702845 |
| Mailing Telephone | 9165702840 |
| Mailing Fax Number | 9165702845 |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2018-02-15 |
| Authorized Official Name | DR. JASON A PARK (OWNER/PROVIDER) |
| Authorized Official Telephone | 9168135557 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A62812 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1111 EXPOSITION BLVD STE 400A |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95815-4336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811455652 | Hansen Kwok Md Inc | Internal Medicine | 1111 Exposition Blvd Ste 400a, Sacramento, CA 95815-4336 | 2019-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958187 | Douglas Benjamin Gudeman | Counselor | Alternative House-residential Treatment Center, 1550 Juliesse Avenue, Sacramento, CA 95815 | 2020-06-26 |
| 1366091894 | Twin Rivers Unified School District | Supports Brokerage | 3051 Fairfield Street, Sacramento, CA 95815 | 2019-09-07 |
| 1669941159 | Maria Luisa Plasencia | Registered Nurse | Martin Luther King Jr. Technology Academy, 3051 Fairfield St, Sacramento, CA 95815 | 2018-11-14 |
| 1700386547 | Rww Outpatient Rehab Services, LLC | Clinic/Center | 1610 Arden Way Ste 195, Sacramento, CA 95815 | 2018-02-19 |
| 1114439262 | Ahc Healthcare of Sacramento Corporation | Skilled Nursing Facility | 1411 Expo Pkwy, Sacramento, CA 95815 | 2017-10-30 |
| 1588173686 | Rebekah Collette Curtis | Counselor | 1048 Dixieanne Ave. #28, Sacramento, CA 95815 | 2017-09-21 |
| 1497284145 | Prohealth Home Care Inc | Hospice Care, Community Based | 1375 Exposition Blvd Suite 250b, Sacramento, CA 95815 | 2017-06-07 |
| 1386982296 | Shailesh M Asaikar Md Inc | Clinic/Center | 1111 Exposition Blvd., Bldg 700, Sacramento, CA 95815 | 2013-01-28 |
| 1609129618 | Jackey Care's Housing | Clinic/Center | 2447 Boxwood St, Sacramento, CA 95815 | 2012-10-16 |
| 1144549304 | Rowena Deleon Nolasco | Nurse Practitioner | 577 Las Palmas Ave., Health for All, Sacremento, CA 95815 | 2010-05-26 |
| Find all providers in zip 95815 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386118404 | Shirley Domingo, M.d., Inc. | Surgery | 3939 J St Ste 305, Sacramento, CA 95819-3639 | 2019-01-11 |
| 1205366101 | Medamerica Physician Solutions Inc | Surgery | 3000 L St Ste 200, Sacramento, CA 95816-5248 | 2017-06-14 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| 1164976585 | Rana Khan | Surgery | 8120 Timberlake Way Ste 212, Sacramento, CA 95823 | 2016-08-15 |
| 1295115616 | Marissa Mendez | Surgery | 2335 Stockton Boulevard, Naob -5th Floor, Sacramento, CA 95817 | 2015-06-01 |
| 1669815940 | Shushmita Mehjabin Ahmed | Surgery | 2335 Stockton Blvd Naob 6th Floor, Sacramento, CA 95817-1418 | 2013-04-16 |
| 1588921795 | Claire E Graves | Surgery | 4501 X Street, Suite 3010, Sacramento, CA 95817-1418 | 2012-04-13 |
| 1164797684 | Luis Armando Godoy | Surgery | 2335 Stockton Blvd., Naob Suite 6120, Sacramento, CA 95817-2200 | 2012-03-16 |
| 1649560632 | Victoria Lyo | Surgery | 2315 Stockton Blvd. Department of Surgery, Naob Suite 6113, Sacramento, CA 95817-2201 | 2011-04-12 |
| 1346539707 | Tanya Nicole Rinderknecht | Surgery | 2335 Stockton Blvd. - Department of Surgery, Naob Suite 5023, Sacramento, CA 95817-2201 | 2011-04-06 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95815 |
Please comment or provide details below to improve the information on JASON A PARK MD A PROFESIONAL MEDICAL CORPORATION.
| 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.