DR. MI RAN PARK (NPI# 1992929616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992929616 |
| Entity Type | Individual |
| Full Name | DR. MI RAN PARK |
| Other Name | MI RAN CHUN |
| Credential | M.D. |
| Practice Address |
5150 Graves Ave. Suite 11b San Jose CA 95129-5014 |
| Practice Telephone | 4082930800 |
| Practice Fax Number | 4082930801 |
| Mailing Telephone | 4082930800 |
| Mailing Fax Number | 4082930801 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2013-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A103558 | CA | Allopathic & Osteopathic Physicians |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A103558 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598314460 | Mi Ran Park | Acupuncturist | 2428 Grand Canal, Irvine, CA 92620-1899 | 2019-09-04 |
| 1366886160 | Mi Ran Park | Acupuncturist | 3130 Foothill Blvd, 2, La Crescenta, CA 91214-2693 | 2013-04-23 |
| Street Address |
5150 GRAVES AVE. SUITE 11B |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95129-5014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528535176 | Sunlife Acupuncture Health Center Inc. | Acupuncturist | 6172 Bollinger Rd., San Jose, CA 95129 | 2018-10-31 |
| 1710472642 | Shen Zhang | Acupuncturist | 1072 S De Anza Blvd Ste A108, San Jose, CA 95129 | 2018-06-23 |
| 1023531217 | Rachana Vyas Dds Inc | Clinic/Center | 1002 S Deanza Blvd, #d, San Jose, CA 95129 | 2017-07-20 |
| 1477908119 | Emily O. Perrotta | Marriage & Family Therapist | 1745 Saratoga Ave #204, San Jose, CA 95129 | 2016-05-02 |
| 1306214325 | Amanda Montgomery | Psychologist | 4300 Stevens Creek Blvd Ste 260, San Jose, CA 95129 | 2015-09-08 |
| 1891065686 | Bobbie Edwards | Behavioral Analyst | 1479 Saratoga Ave, San Jose, CA 95129 | 2012-01-10 |
| 1659640753 | Gail Elizabeth Nabarrete | Social Worker | 780 Saratoga Ave, S310, San Jose, CA 95129 | 2011-12-19 |
| 1891063574 | Elizabeth Duell | Dentist | 4635 Piper Drive, San Jose, CA 95129 | 2011-12-08 |
| 1033486519 | Stephanie Truvonne Hawkins | Family Medicine | 9292 De Anza Blvd, Suite 101, San Jose, CA 95129 | 2011-11-28 |
| 1568607828 | Irina Vaynshteyn | Dentist | 1888 Saratoga Ave Ste 102, San Jose, CA 95129 | 2008-12-15 |
| Find all providers in zip 95129 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922658723 | Mai Medical, Inc. | Family Medicine | 2641 Senter Rd, San Jose, CA 95111-1122 | 2019-09-13 |
| 1740712421 | Emily Hsiao | Family Medicine | 276 International Cir Unit D, San Jose, CA 95119-1130 | 2017-03-31 |
| 1629526264 | John Heringer | Family Medicine | 2823 Cardinal Ln, San Jose, CA 95125-4800 | 2016-09-12 |
| 1598152043 | Shoaib Khalid | Family Medicine | 6658 Mount Holly Dr, San Jose, CA 95120-1931 | 2015-04-22 |
| 1942604665 | Kyaw Min | Family Medicine | 2395 Montpelier Dr Ste 4, San Jose, CA 95116-1619 | 2014-10-09 |
| 1679996151 | Qingbo Sui | Family Medicine | 1870 Lundy Avenue, San Jose, CA 95131-1826 | 2014-02-04 |
| 1972938801 | Claudine Lott | Family Medicine | 145 Nicholson Ln, San Jose, CA 95134 | 2013-09-11 |
| 1689016271 | Valerie Halls | Family Medicine | 276 International Cir Unit G, San Jose, CA 95119-1130 | 2013-07-23 |
| 1114366572 | Maryam Kalami | Family Medicine | 1451 Regalo Ct, San Jose, CA 95128-4523 | 2013-06-19 |
| 1750725511 | Sreelata Kintala | Family Medicine | 746 The Alameda Ste 10, San Jose, CA 95126-3178 | 2013-04-24 |
| Find all providers in SAN JOSE | ||||
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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.