Andrew M Park (NPI# 1255588463, PAC ID# 3971669201) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1255588463 |
| PAC ID by PECOS | 3971669201 |
| Professional Enrollment ID | I20090311000358 |
| Full Name | Andrew M Park |
| Organization Legal Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Address |
26882 Towne Centre Dr Foothill Ranch CA 92610-2862 |
| Phone Number | 8889882800 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6002729175 |
| Number of Group Practice Members | 7666 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500002 | PROVIDENCE ST MARY MEDICAL CENTER |
| 050609 | KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHE |
| Address | Phone | Organization |
|---|---|---|
| 5475 E La Palma Ave, Anaheim, CA 92807-2075 | 7142796088 | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| 26882 Towne Centre Dr, Foothill Ranch, CA 92610-2862 | 8889882800 | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| 23781 Maquina, Mission Viejo, CA 92691-2716 | 8889882800 | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Organization Legal Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Physicians | 10172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chengjie Zheng | Ophthalmology | Southern California Permanente Medical Group | 9449 Imperial Hwy, Downey, CA 90242-2814 |
| Dong Joo Kim | Dermatology | Southern California Permanente Medical Group | 3401 S Harbor Blvd, Santa Ana, CA 92704-7933 |
| Terese S Bergheim | Dermatology | Southern California Permanente Medical Group | 12100 Euclid St, Garden Grove, CA 92840-3304 |
| Nabeel Rashid Hameed | Family Medicine | Southern California Permanente Medical Group | 4949 Market St, Ventura, CA 93003-7851 |
| Linda Marie Silver | Clinical Social Worker | Southern California Permanente Medical Group | 2081 Palos Verdes N Dr, Lomita, CA 90717-3701 |
| Erik James Ryo Murata | Physical Therapy | Southern California Permanente Medical Group | 411 N Lakeview Ave, Anaheim, CA 92807-3028 |
| Natasha D Irving | Obstetrics/gynecology | Southern California Permanente Medical Group | 1200 Discovery Dr, Bakersfield, CA 93309-7032 |
| May Sanguanlosit | Optometry | Southern California Permanente Medical Group | 27201 Tourney Rd, Santa Clarita, CA 91355-1854 |
| Neepa Shah | Ophthalmology | Southern California Permanente Medical Group | 75036 Gerald Ford Dr, Palm Desert, CA 92211-2080 |
| Gabrielle E Brown | Dermatology | Southern California Permanente Medical Group | 18600 S Figueroa St, Gardena, CA 90248-4505 |
| Street Address |
26882 TOWNE CENTRE DR |
| City | FOOTHILL RANCH |
| State | CA |
| Zip | 92610-2862 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pankaj J Mowji | Interventional Radiology | Southern California Permanente Medical Group | 26882 Towne Centre Dr, Foothill Ranch, CA 92610-2862 |
| David B Kim | Family Medicine | Southern California Permanente Medical Group | 26882 Towne Centre Dr, Foothill Ranch, CA 92610-2862 |
| Mark P Tzagournis | Family Medicine | Southern California Permanente Medical Group | 26882 Towne Centre Dr, Foothill Ranch, CA 92610-2862 |
| Shobha Rani C Mahesh | Family Medicine | Southern California Permanente Medical Group | 26882 Towne Centre Dr, Foothill Ranch, CA 92610-2862 |
| Ali Mor | Family Practice | Southern California Permanente Medical Group | 26882 Towne Centre Dr, Foothill Ranch, CA 92610-2862 |
| Marian M Bareh | Family Practice | Southern California Permanente Medical Group | 26882 Towne Centre Dr, Foothill Ranch, CA 92610-2862 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa E Shields-szabo | Family Medicine | St Joseph Heritage Healthcare | 26795 Portola Pkwy, Foothill Ranch, CA 92610-1713 |
| Michael D Stouder | Emergency Medicine | St Joseph Heritage Healthcare | 26795 Portola Pkwy, Foothill Ranch, CA 92610-1713 |
| James P Decock | Family Medicine | St Joseph Heritage Healthcare | 26795 Portola Pkwy, Foothill Ranch, CA 92610-1713 |
| Nahla H Salem | Internal Medicine | 26781 Portola Pkwy, Suite 4e, Foothill Ranch, CA 92610-1758 | |
| Hootan M Daneshmand | Plastic and Reconstructive Surgery | 27462 Portola Pkwy, Suite 100, Foothill Ranch, CA 92610-2838 | |
| Carleton S Fong | Optometry | 26750 Towne Centre Dr, Suite E, Foothill Ranch, CA 92610-2841 | |
| Douglas Chang | Neurology | 26730 Towne Centre Dr, Suite 202, Foothill Ranch, CA 92610-2842 | |
| Kevin H Ashby | Gastroenterology | 26700 Towne Centre Dr, Suite 100, Foothill Ranch, CA 92610-2843 | |
| Martin Andrew Vertson | Physical Therapy | Intecore, Inc | 26700 Towne Centre Dr, Suite 120, Foothill Ranch, CA 92610-2843 |
| Samuel E Sunshine | Family Practice | 26700 Towne Centre Dr, Suite 100, Foothill Ranch, CA 92610-2843 | |
| Find all physicians in zip 92610 | |||
| City | FOOTHILL RANCH |
| Zip Code | 92610 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FOOTHILL RANCH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Andrew M Park.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.