PETER PARK (NPI# 1992181598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992181598 |
| Entity Type | Individual |
| Full Name | PETER PARK |
| Credential | D.D.S. |
| Practice Address |
246 W College St Covina CA 91723-1910 |
| Mailing Address |
26061 Lawton Ave Loma Linda CA 92354-3836 |
| Practice Telephone | 6269662222 |
| Mailing Telephone | 4233227394 |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
64710 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033685177 | Peter Sungil Park | Obstetrics & Gynecology | 31874 Summer Grape Ct, Winchester, CA 92596-8633 | 2018-10-16 |
| 1699015792 | Peter Ju Park | Radiology | 100 Woodruff Cir Ne, Suite 327, Atlanta, GA 30322-0001 | 2013-02-26 |
| 1831296185 | Peter Joonsun Park | Emergency Medicine | 34800 Bob Wilson Dr. Naval Medical Center, Department of Emergency Medicine, San Diego, CA 92134-1110 | 2006-09-20 |
| 1508899915 | Peter C Park | Family Medicine | 30 Vt Route 100 S, Wilmington, VT 05363-7944 | 2006-07-09 |
| 1952359887 | Peter K Park | Physical Medicine & Rehabilitation | 6447 E Riverside Blvd, Suite 102, Rockford, IL 61114-4421 | 2006-05-04 |
| 1104825033 | Peter Sang-wook Park | Podiatrist | 1501 W Commonwealth Ave, Fullerton, CA 92833-2727 | 2005-07-21 |
| 1154937241 | Peter S Park | Student in an Organized Health Care Education/Training Program | 820 Memorial St Ste 1, Prosser, WA 99350-2504 | 2020-09-23 |
| 1437762275 | Peter Park | Pharmacist | 1713 W Springfield Ave, Champaign, IL 61821-3011 | 2020-08-30 |
| 1831650043 | Peter K Park | Student in an Organized Health Care Education/Training Program | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-03-29 |
| 1508392176 | Peter Park | Social Worker | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2017-05-02 |
| Street Address |
246 W COLLEGE ST |
| City | COVINA |
| State | CA |
| Zip Code | 91723-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689660037 | Jacob Rispler | Dermatology | 246 W College St, 3rd Floor, Covina, CA 91723-1910 | 2005-09-21 |
| 1366842643 | Lin Lin Wong | Dentist | 246 W College St, Suite 207, Covina, CA 91723-1910 | 2014-08-25 |
| 1093010480 | Jacob Rispler Md A Professional Corporation | Dermatology | 246 W College St, 3rd Floor, Covina, CA 91723-1910 | 2011-01-17 |
| 1811133663 | Covina Surgery Center, LLC | Clinic/Center | 246 W College St, Suite 200, Covina, CA 91723-1910 | 2008-12-29 |
| 1720185929 | Mecca Home Health Services Group Inc | Home Health | 246 W College St, Suite 202, Covina, CA 91723 | 2006-09-20 |
| 1063527083 | Hhc Future Inc | Durable Medical Equipment & Medical Supplies | 246 W College St, Ste 100, Covina, CA 91723-1910 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550593 | Joshua Mercado | Behavior Technician | 210 N. Citrus Ave., Covina, CA 91723 | 2020-08-26 |
| 1578104790 | Alda Shin Shin | Behavioral Analyst | 1343 S. Grand Avenue, Suite 200, Covina, CA 91723 | 2019-09-30 |
| 1063074490 | Julia De La Torre | Student in an Organized Health Care Education/Training Program | 540 S Eremland Drive, Covina, CA 91723 | 2019-07-05 |
| 1336639368 | Counseling Solutions for Children and Families, Psychology Corporation | Community/Behavioral Health | 271 E Workman St Ste 101, Covina, CA 91723 | 2018-05-15 |
| 1669995916 | Helen Wang Le | Optometrist | 554 E San Bernardino Rd Ste 102, Covina, CA 91723 | 2017-07-19 |
| 1992242879 | Donovan Kouthiraj | Behavior Technician | 210 N Citrus Ave Ste A1, Covina, CA 91723 | 2017-01-30 |
| 1427406339 | Robinson Baron Medical Clinic | Surgery | 274 W Badillo Street, Covina, CA 91723 | 2016-06-01 |
| 1306211123 | Absolute Senior Care Services, Inc | In Home Supportive Care | 599 S Barranca Ave Ste 205, Covina, CA 91723 | 2015-12-04 |
| 1780061135 | Mohan Ckd Clinic | Internal Medicine | 171 W Cottage St, Covina, CA 91723 | 2015-05-05 |
| 1992198915 | Toshihisa Takei | Otolaryngology | 202 West College Street, Covina, CA 91723 | 2015-03-16 |
| Find all providers in zip 91723 | ||||
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710548375 | San Diego Dental Anesthesia | Dentist | 1287 Carlsbad Village Drive, Carlsbad, CA 92008 | 2019-06-25 |
| 1740770650 | Jana Sabo Dds Inc | Dentist | 1196 Valencia St Unit 106, San Francisco, CA 94110-3027 | 2018-05-16 |
| 1124524236 | Kristin Chino | Dentist | 225 4th Ave Apt 204, Venice, CA 90291-8607 | 2018-04-05 |
| 1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
| 1245680271 | Ryan Cheung | Dentist | 8055 West Manchester Avenue, Suite 204, Playa Del Rey, CA 90293 | 2016-06-21 |
| 1245687706 | Wonil Edward Jung | Dentist | 14320 Ventura Blvd, Ste 223, Sherman Oaks, CA 91423-2717 | 2016-05-15 |
| 1861848152 | Phelon Rammell | Dentist | 24837 Tulip Ave, Loma Linda, CA 92354-3405 | 2016-05-05 |
| 1497115547 | Wolf and Bear Dental Care LLC | Dentist | 3023 Bunker Hill St Ste 105, San Diego, CA 92109-5706 | 2016-03-02 |
| 1871964742 | Rachelle Kim | Dentist | 25246 Barton Rd Apt 8, Loma Linda, CA 92354-3055 | 2015-10-16 |
| 1346651262 | Stephen Cotter | Dentist | 3909 Sierra Linda Dr, Escondido, CA 92025-7653 | 2014-05-13 |
| Find all providers with the same taxonomy | ||||
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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.