TED PARK (NPI# 1871113050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871113050 |
| Entity Type | Individual |
| Full Name | TED PARK |
| Credential | MD |
| Practice Address |
28062 Baxter Rd Murrieta CA 92563-1401 |
| Mailing Address |
28062 Baxter Rd Office of Gme, Family Medicine Program Murrieta CA 92563-1401 |
| Practice Telephone | 9512904168 |
| Mailing Telephone | 9512904168 |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |
| 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 |
|---|---|---|---|---|
| 1114293487 | Ted S Park | Hearing Instrument Specialist | 2141 K St Nw Ste 2, Washington, DC 20037-1810 | 2012-03-30 |
| 1487626784 | Ted Park | Hospitalist | 920 Church St N, Suite 255, Concord, NC 28025-2927 | 2006-02-02 |
| Street Address |
28062 BAXTER RD |
| City | MURRIETA |
| State | CA |
| Zip Code | 92563-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710988175 | Nalan Nmn Narine | Anesthesiology | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2005-08-09 |
| 1245846146 | Loma Linda Anesthesia Services A Medical Corporation | Anesthesiology | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-09-17 |
| 1518585280 | Luke Edgson | Student in an Organized Health Care Education/Training Program | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-07-09 |
| 1821611674 | Angela Lynne Palmer | Nurse Practitioner | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-05-27 |
| 1841812567 | Mgmd Anesthesia Inc | Anesthesiology | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-05-15 |
| 1629698733 | Christopher Michael Phillips | Student in an Organized Health Care Education/Training Program | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-04-18 |
| 1639702053 | Jose I De Armas II | Anesthesiology | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-02-13 |
| 1235779521 | Cep America - Neurology PC | Psychiatry & Neurology | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-01-14 |
| 1184260697 | Landmark Anesthesia Medical Group Llumc | Anesthesiology | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2019-11-19 |
| 1639728942 | Crystal Dawn Gutierrez | Nurse Practitioner | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2019-09-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972137073 | Catherine Sanders | Physical Therapist | 39815 Alta Murrieta Drive, Suite C-1, Murrieta, CA 92563 | 2020-02-27 |
| 1588201990 | Joanna Chante Rios Montoya | Case Manager/Care Coordinator | 30755 Auld Rd B, Murrieta, CA 92563 | 2019-12-04 |
| 1881154896 | Just for You Home Care Inc. | In Home Supportive Care | 30535 Marlow Ct., Murrieta, CA 92563 | 2019-03-25 |
| 1548751985 | Day By Day Treatment, Inc. | Clinic/Center | 40119 Murrieta Hot Springs Rd Ste B104, Murrieta, CA 92563 | 2018-05-22 |
| 1952802225 | Temecula Valley Skilled Nursing and Rehabilitation Center, Lp | Skilled Nursing Facility | 25924 Jackson Ave, Murrieta, CA 92563 | 2018-02-22 |
| 1114432721 | May Farrah Blanco Yoshisaki | Nurse Practitioner | 39525 Los Alamos Road, Ste E, Murrieta, CA 92563 | 2017-12-05 |
| 1942721899 | Cecilia Cristina Flores-castillo | Interpreter | 29910 Murrieta Hot Sprngs Rd., Ste. G-235, Murrieta, CA 92563 | 2017-06-30 |
| 1144756354 | Anh-thu Kent | Pharmacist | 40234 Miklich Dr, Murrieta, CA 92563 | 2017-05-08 |
| 1750817177 | Anahita Akbari Farahani | Dentist | 39209 Wichester Rd, Ste 100, Temecula, CA 92563 | 2017-05-04 |
| 1588196612 | Galena Dapra | Nurse Practitioner | 27808 Baxter Rd. Suite 320, Murrieta, CA 92563 | 2017-03-29 |
| Find all providers in zip 92563 | ||||
| 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 |
|---|---|---|---|---|
| 1083223663 | Ashish Sud | Student in an Organized Health Care Education/Training Program | 23668 Hollingsworth Dr, Murrieta, CA 92562-4497 | 2020-07-29 |
| 1609369610 | Alfred Opong | Student in an Organized Health Care Education/Training Program | 38315 Encanto Rd, Murrieta, CA 92563-3211 | 2018-06-13 |
| 1699129064 | Jared Donaldson | Student in an Organized Health Care Education/Training Program | 25395 Hancock Ave Ste 100, Murrieta, CA 92562-9054 | 2016-04-21 |
| 1700273901 | Benjamin Hurwitz | Student in an Organized Health Care Education/Training Program | 22149 Lynx Ct, Murrieta, CA 92562-3038 | 2015-04-25 |
| 1518585280 | Luke Edgson | Student in an Organized Health Care Education/Training Program | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-07-09 |
| 1629698733 | Christopher Michael Phillips | Student in an Organized Health Care Education/Training Program | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-04-18 |
| 1790017952 | Luan Le | Student in an Organized Health Care Education/Training Program | 26318 Norma Jean Pl, Murrieta, CA 92563-4900 | 2010-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679741 | Krista Lapidario | Student in an Organized Health Care Education/Training Program | 18602 Kings Row Ave, Cerritos, CA 90703-8048 | 2020-11-04 |
| 1548861818 | Masara Issa | Student in an Organized Health Care Education/Training Program | 2261 Runabout Pl, El Cajon, CA 92019-4250 | 2020-11-03 |
| 1245830736 | Khalid Bey | Student in an Organized Health Care Education/Training Program | 1st Dnbn Attn: Credentials 555221, Camp Pendleton, CA 92055-5221 | 2020-10-26 |
| 1538768221 | Judith Guarneros | Student in an Organized Health Care Education/Training Program | 47 Rogers Rd, Kernville, CA 93238-6021 | 2020-10-22 |
| 1174122048 | Vivian M. Arredondo | Student in an Organized Health Care Education/Training Program | 22656 Lark St, Grand Terrace, CA 92313-5714 | 2020-10-22 |
| 1861091621 | Kristen N Brauchler | Student in an Organized Health Care Education/Training Program | 2098 Cabot Ave, Merced, CA 95348-4023 | 2020-10-22 |
| 1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
| 1447859533 | Brooke Edelson | Student in an Organized Health Care Education/Training Program | 21 Waverley Ct Apt 4, Menlo Park, CA 94025-3551 | 2020-10-20 |
| 1891394987 | Shannon Shen | Student in an Organized Health Care Education/Training Program | 190 Ryland St Apt 3422, San Jose, CA 95110-2295 | 2020-10-20 |
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
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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.