Chan Park
VANGUARD MEDICAL CORPORATION


Address: 565 Kern St, Shafter, CA 93263-2133
Phone: 6617464937

Chan Park (NPI# 1255336665, PAC ID# 7517995384) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1255336665
PAC ID by PECOS 7517995384
Professional Enrollment ID I20050908001225
Full Name Chan Park
Organization Legal Name VANGUARD MEDICAL CORPORATION
Address 565 Kern St
Shafter
CA 93263-2133
Phone Number 6617464937
Gender M
Credential MD
Medical School LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1996
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 4587881685
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050455 ADVENTIST HEALTH BAKERSFIELD

Other Locations

Address Phone Organization
501 Munzer St, Suite A, Shafter, CA 93263-2042 6614292739 SHAFTER URGENT CARE
565 Kern St, Shafter, CA 93263-2133 6617464937 VANGUARD MEDICAL CORPORATION

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_006_overall Coronary Artery Disease (CAD): Antiplatelet Therapy 80%

Organization Information

Organization Legal Name VANGUARD MEDICAL CORPORATION
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Danessa D Thorbrogger Nurse Practitioner Vanguard Medical Corporation 565 Kern St, Shafter, CA 93263-2133
Jae Kim Internal Medicine Vanguard Medical Corporation 565 Kern St, Shafter, CA 93263-2133
Alicia Eugenia Garcia Chiropractic Vanguard Medical Corporation 565 Kern St, Shafter, CA 93263-2133

Office Location

Street Address 565 KERN ST
City SHAFTER
State CA
Zip 93263-2133

Physicians in the same location

Name Specialty Organization Address
Danessa D Thorbrogger Nurse Practitioner Vanguard Medical Corporation 565 Kern St, Shafter, CA 93263-2133
Jae Kim Internal Medicine Vanguard Medical Corporation 565 Kern St, Shafter, CA 93263-2133
Alicia Eugenia Garcia Chiropractic Vanguard Medical Corporation 565 Kern St, Shafter, CA 93263-2133

Physicians in the same zip code

Name Specialty Organization Address
Destiney D Campbell Physical Therapy Glinn and Giordano Physical Therapy Inc 701 Central Valley Hwy, B C, Shafter, CA 93263-2028
William Brian Monroe Physical Therapy Glinn and Giordano Physical Therapy Inc 701 Central Valley Hwy, B C, Shafter, CA 93263-2028
Tonya M Gares Matney Physical Therapy Glinn and Giordano Physical Therapy Inc 701 Central Valley Hwy, B C, Shafter, CA 93263-2028
Angie Teresa L Gorospe Physical Therapy Glinn and Giordano Physical Therapy Inc 701 Central Valley Hwy, B C, Shafter, CA 93263-2028
Talena Lank Nurse Practitioner Shafter Urgent Care 501 Munzer St, Suite A, Shafter, CA 93263-2042
Ayodeji Adetayo Ayeni Pediatric Medicine Shafter Urgent Care 501 Munzer St, Suite A, Shafter, CA 93263-2042
Katie C Mckay Clinical Social Worker Omni Family Health 655 S Central Valley Hwy, Shafter, CA 93263-2790
Norbert Gal Chiropractic Omni Family Health 655 S Central Valley Hwy, Shafter, CA 93263-2790
Dashrath P Patel Psychiatry Omni Family Health 655 S Central Valley Hwy, Shafter, CA 93263-2790
Raman Sandhu Psychiatry Omni Family Health 655 S Central Valley Hwy, Shafter, CA 93263-2790
Find all physicians in zip 93263

Competitor

Search similar physicians

City SHAFTER
Zip Code 93263
Specialty FAMILY MEDICINE
City + Specialty SHAFTER + FAMILY MEDICINE

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Dataset Information

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.

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