DR. JOSEPH PARK (NPI# 1982886412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982886412 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH PARK |
| Credential | DPM |
| Practice Address |
191 S Buena Vista St Ste 315 Burbank CA 91505-4556 |
| Practice Telephone | 8188485586 |
| Mailing Telephone | 8188485586 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2009-02-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E4797 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PODIATRY | 1982886412 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156622 | Joseph Park | Social Worker | 100 N Bellefield Ave Ste 618, Pittsburgh, PA 15213-2600 | 2018-09-06 |
| 1205380854 | Joseph Soon Park | Student in an Organized Health Care Education/Training Program | 200 Campus Drive, Suite 3100, Hershey, PA 17033 | 2016-08-12 |
| 1700206869 | Joseph Choi Park | Otolaryngology | 601 N Caroline St # Street6, Baltimore, MD 21287-0006 | 2014-04-16 |
| 1700203700 | Joseph Park | Student in an Organized Health Care Education/Training Program | 1049 Rosedale Rd, Valley Stream, NY 11581-2704 | 2014-03-27 |
| 1760726574 | Joseph Park | Physical Therapist | 12465 Lewis Street, Suite 101, Garden Grove, CA 92840-4658 | 2012-11-16 |
| 1699916585 | Joseph Park | Dentist | 2411 Williams Dr Ste 111, Georgetown, TX 78628-3268 | 2009-03-23 |
| 1821139841 | Joseph Yip Park | Dentist | 2017 Queensguard Rd, Silver Spring, MD 20906-2032 | 2007-02-11 |
| 1891848412 | Joseph Park | Family Medicine | 3805 Main St Ste 112, The Colony, TX 75056-2853 | 2007-01-18 |
| 1194896373 | Joseph Park | Acupuncturist | 134 Howard St, Petaluma, CA 94952-2922 | 2006-11-10 |
| 1811079098 | Joseph M Park | Urology | 63 South 9th Street, Indiana, PA 15701 | 2006-10-19 |
| Street Address |
191 S BUENA VISTA ST STE 315 |
| City | BURBANK |
| State | CA |
| Zip Code | 91505-4556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013926203 | Burbank Foot Care Center, Inc. | Podiatrist | 191 S Buena Vista St Ste 315, Burbank, CA 91505-4556 | 2006-08-05 |
| 1912450214 | Tina Shahin | Podiatrist | 191 S Buena Vista St Ste 315, Burbank, CA 91505-4556 | 2016-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
| 1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
| 1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
| 1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
| 1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
| 1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
| 1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
| Find all providers in zip 91505 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790262590 | Levine Foot & Ankle Surgery | Podiatrist | 2701 W Alameda Ave Ste 401a, Burbank, CA 91505-4409 | 2018-07-24 |
| 1558551333 | Rodney E Sanneman, D.p.m. A Medical Corporation | Podiatrist | 255 E Orange Grove Ave Ste A, Burbank, CA 91502-1240 | 2007-07-27 |
| 1023091808 | John Donald Halebian | Podiatrist | 531 N Beachwood Dr, Burbank, CA 91506-1801 | 2005-11-25 |
| 1760094908 | Upperline Healthcare California PC | Podiatrist | 241 W Olive Ave, Burbank, CA 91502-1825 | 2020-08-19 |
| 1912450214 | Tina Shahin | Podiatrist | 191 S Buena Vista St Ste 315, Burbank, CA 91505-4556 | 2016-08-03 |
| 1124431911 | Professional Foot and Ankle Center, Inc | Podiatrist | 2601 W Alameda Ave, Suite 208, Burbank, CA 91505-4800 | 2014-06-09 |
| 1568886075 | Shadi Yadegaran | Podiatrist | 2601 W Alameda Ave, Suite 208, Burbank, CA 91505-4800 | 2014-02-05 |
| 1487090973 | Michael George Wheeler | Podiatrist | 201 S Buena Vista St, Suite 305, Burbank, CA 91505-4569 | 2013-05-11 |
| 1063659704 | Western Podmed Clinic Inc | Podiatrist | 2625 W Alameda Ave, Ste 314, Burbank, CA 91505-4822 | 2009-01-16 |
| 1790956209 | Esp Medical Group Inc | Podiatrist | 2601 W Alameda Ave, Ste 208, Burbank, CA 91505-4800 | 2008-03-13 |
| Find all providers in BURBANK | ||||
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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.