DR. KEVIN WARREN PARK (NPI# 1013045343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013045343 |
Entity Type | Individual |
Full Name | DR. KEVIN WARREN PARK |
Credential | M.D. |
Practice Address |
124 River Rd Kinship Center Salinas CA 93908-9601 |
Practice Telephone | 8314554770 |
Practice Fax Number | 8314554739 |
Mailing Telephone | 8314554770 |
Mailing Fax Number | 8314554739 |
Enumeration Date | 2007-02-28 |
Last Update Date | 2007-08-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
G65353 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | DEA # | BP0297499 | 01 |
CA | STATE MEDICAL LICENSE | G65363 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952372914 | Kevin N Park | Psychologist | 5860 S Curtice St, Littleton, CO 80120-1909 | 2006-01-30 |
1891308417 | Kevin Park | Pharmacist | 7789 Foothill Blvd, Tujunga, CA 91042-2137 | 2020-08-24 |
1619462314 | Kevin Park | Student in an Organized Health Care Education/Training Program | 333 City Blvd W Ste 2150, Orange, CA 92868-5920 | 2018-06-25 |
1295102317 | Kevin Park | Dentist | 1365 Barrow St, Abilene, TX 79605-5171 | 2015-08-24 |
1649653106 | Kevin Woo Park | Orthopaedic Surgery | 9500 Euclid Ave # A41, Cleveland, OH 44195-0001 | 2015-07-02 |
1093103004 | Kevin Park | Pharmacist | 1496 Market St, San Francisco, CA 94102-6004 | 2014-12-26 |
1538456710 | Kevin Park | Pharmacist | 12051 Imperial Hwy, Norwalk, CA 90650-3084 | 2011-07-07 |
1356579627 | Kevin U Park | Orthopaedic Surgery | 1265 Highway 54 W, Suites 102 and 308, Fayetteville, GA 30214-4548 | 2009-06-25 |
1215004965 | Kevin Alan Park | Occupational Therapist | 206b Oxford Rd, New Albany, MS 38652-3115 | 2006-11-29 |
1093823494 | Kevin S. Park | Orthopaedic Surgery | 11525 Brookshire Ave, Suite #201, Downey, CA 90241-4985 | 2006-08-26 |
Street Address |
124 RIVER RD KINSHIP CENTER |
City | SALINAS |
State | CA |
Zip Code | 93908-9601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386255362 | Rachael Christene Sawyer | Counselor | 124 River Rd, Salinas, CA 93908-9601 | 2020-08-12 |
1477179687 | Betsaida Ashadeth Solis | Counselor | 124 River Rd, Salinas, CA 93908-9601 | 2020-06-23 |
1588280705 | Debora Matias Gavarrete | Counselor | 124 River Rd, Salinas, CA 93908-9601 | 2020-06-23 |
1487270609 | Dominique Faye-robin Dates | Counselor | 124 River Rd, Salinas, CA 93908-9601 | 2020-06-23 |
1528607728 | Alexandra Gisselle Solis | Counselor | 124 River Rd, Salinas, CA 93908-9601 | 2020-01-06 |
1982242137 | Samantha Borges | Counselor | 124 River Rd, Salinas, CA 93908-9601 | 2019-12-18 |
1003464041 | Avelina Olga Charles | Counselor | 124 River Rd, Salinas, CA 93908-9601 | 2019-09-03 |
1336619139 | Leslie Johnston | Counselor | 124 River Rd, Salinas, CA 93908-9601 | 2018-12-05 |
1205306123 | Karla Morales | Technician, Health Information | 124 River Rd, Salinas, CA 93908-9601 | 2018-12-04 |
1922578848 | Jacquelyn Duran | Counselor | 124 River Rd, Salinas, CA 93908-9601 | 2018-12-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417365693 | Genesis Rehab Services | Long Term Care Hospital | 211103 Old Ranch Ct, Salinas, CA 93908 | 2014-07-31 |
1841549920 | Cameron Edward English | Physical Therapist | 611 Abbott Street, Suite 100, Salinas, CA 93908 | 2012-09-05 |
1811265077 | Harriet Elaine Paskins | Counselor | 124 River Rd., Salinas, CA 93908 | 2011-12-02 |
1184924029 | Qualium Corp | Clinic/Center | 18275 Meadow Song Way, Salinas, CA 93908 | 2010-10-26 |
1831366418 | Carl J Lindblad | Counselor | 124 River Road, Kinship Center, Salinas, CA 93908 | 2008-05-13 |
1235358797 | Pamela May Rogers | Social Worker | 19375 Acclaim Drive, Salinas, CA 93908 | 2007-04-24 |
1932293784 | Alliance Home Health Inc | Home Health | 19045 Portola Dr, Ste B, Salinas, CA 93908 | 2006-10-03 |
1407331317 | Andrea Aiello | Dietitian, Registered | 47 San Benancio Rd, A.b. Ingham Medical Therapy Unit, Salinas, CA 93908 | 2018-09-26 |
1871018952 | Norma Lee Smith | Counselor | 124 River Road, Salinas, CA 93908 | 2017-08-09 |
1619245842 | Shawndreya Garliepp | Technician, Other | 124 River Road, Salinas, CA 93908 | 2011-12-02 |
Find all providers in zip 93908 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639335268 | Aanmol Inderjeet Kaur Rai | Psychiatry & Neurology | 951-b Blanco Circle, Children's Behavioral Health; County of Monterey, Salinas, CA 93901 | 2008-08-04 |
1720118656 | David Weeks Heilman | Psychiatry & Neurology | 1270 Natividad Rd, Room 200, Salinas, CA 93906-3122 | 2007-03-07 |
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1710506308 | Nisha Warikoo Md Inc | Psychiatry & Neurology | 19200 Von Karman Ave, Ste 623, Irvine, CA 92612-8553 | 2020-04-13 |
1043848872 | Nelson Md and Lochhead Md, A Professional Medical Corporation | Psychiatry & Neurology | 28202 Cabot Rd Ste 635, Laguna Niguel, CA 92677-1222 | 2020-03-28 |
1003455460 | Ranvinder Kaur Rai Md | Psychiatry & Neurology | 39676 Mission Blvd, Fremont, CA 94539-3000 | 2020-01-03 |
1043856073 | Ocean View Neuropsychiatry | Psychiatry & Neurology | 31862 Coast Highway Unit 302, Laguna Beach, CA 92651 | 2019-11-25 |
1275190068 | Allan S Abrams Md Inc | Psychiatry & Neurology | 4726 Winnetka Ave, Woodland Hills, CA 91364-4737 | 2019-05-28 |
1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
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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.