SAMUEL RYAN PARK (NPI# 1023174752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023174752 |
| Entity Type | Individual |
| Full Name | SAMUEL RYAN PARK |
| Other Name | SAMUEL PARK |
| Credential | MD |
| Practice Address |
22 Odyssey Ste 155 Irvine CA 92618-3194 |
| Practice Telephone | 9492077650 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2012-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | A75650 | CA | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
A75650 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922363183 | Samuel Park | Preventive Medicine | 2448 Historic Decatur Rd Ste 130, San Diego, CA 92106-6127 | 2012-07-12 |
| 1053607952 | Samuel Joon Park | Internal Medicine | 160 1st St Unit 551, Mineola, NY 11501-5025 | 2011-06-20 |
| 1851504377 | Samuel Sanghong Park | Orthopaedic Surgery | 12 Salt Creek Ln Ste 350, Hinsdale, IL 60521-8612 | 2007-05-08 |
| 1497832661 | Samuel K. Park | Family Medicine | 20072 Sw Birch St Ste 100, Newport Beach, CA 92660-0794 | 2006-11-01 |
| 1740285907 | Samuel Mo Park | Physical Medicine & Rehabilitation | 340 W East Ave, Chico, CA 95926-7238 | 2005-06-15 |
| 1124551239 | Samuel Park | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Bb-1469, Seattle, WA 98195-0001 | 2017-04-05 |
| 1154853836 | Samuel Park | Physical Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2017-03-31 |
| 1790237899 | Samuel Park | Student in an Organized Health Care Education/Training Program | 3580 Wilshire Blvd Fl 8, Los Angeles, CA 90010-2505 | 2016-10-25 |
| 1295187136 | Samuel Park IIi | Physical Medicine & Rehabilitation | 1240 Mckee Rd, Dover, DE 19904-1381 | 2016-07-03 |
| 1205222510 | Samuel Park | Psychologist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2015-04-13 |
| Street Address |
22 ODYSSEY STE 155 |
| City | IRVINE |
| State | CA |
| Zip Code | 92618-3194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639691397 | Sarah Apollo Dt PC | Clinic/Center | 22 Odyssey Ste 155, Irvine, CA 92618-3194 | 2017-07-13 |
| 1457749624 | Jin Hee Park | Acupuncturist | 22 Odyssey Ste 155, Irvine, CA 92618-3194 | 2014-12-22 |
| 1184025025 | Samuel Ryan Park, Inc | Anesthesiology | 22 Odyssey Ste 155, Irvine, CA 92618-3194 | 2014-09-10 |
| 1528314515 | Samuel Park Md A Medical Corporation | Anesthesiology | 22 Odyssey Ste 155, Irvine, CA 92618-3194 | 2012-07-27 |
| 1649579343 | Barbara Ann Kangas | Nurse Practitioner | 22 Odyssey Ste 155, Irvine, CA 92618-3194 | 2011-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982306 | Zermina Akbary | Registered Nurse | 131 Theme, Irvine, Irvine, CA 92618 | 2020-05-04 |
| 1760028575 | Leibow Psychology Group, PC | Counselor | 7725 Gateway #4203, Irvine, CA 92618 | 2019-11-27 |
| 1790263713 | Jw Professional Dental Corporation | Dentist | 14785 Jeffrey Rd. Ste 200, Irvine, CA 92618 | 2018-08-01 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1952899221 | Oneness Health Group Inc | Chiropractor | 25 Deergrass, Irvine, CA 92618 | 2018-04-23 |
| 1144738899 | Morvarid Emamy | Dentist | 23448 Spectrum, Irvine, CA 92618 | 2018-01-16 |
| 1083123194 | Ning Wang | Behavioral Analyst | 9844 Research Dr Ste 100, Irvine, CA 92618 | 2017-09-21 |
| 1043679715 | Dent All By Dr. Z | Dentist | 15362 Alton Parkway, Irvine, CA 92618 | 2016-02-23 |
| 1265897862 | Whitney Elyse Davies | Physical Therapist | 26650 Alton Parkway, Irvine, CA 92618 | 2015-12-23 |
| 1245619295 | Nora Witt | Registered Nurse | 16205 Sand Canyon Avenue, Suite 100, Irvine, CA 92618 | 2015-05-22 |
| Find all providers in zip 92618 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1972844561 | Dat N Duong | Anesthesiology | 2500 Alton Pkwy Ste 101, Irvine, CA 92606-5032 | 2013-03-07 |
| 1164610713 | Elain Wen-shang Tong | Anesthesiology | 18 Endeavor Ste 304, Irvine, CA 92618-3177 | 2007-10-09 |
| 1427251099 | Marybeth Bewersdorf | Anesthesiology | 5 Holland Ste 101, Irvine, CA 92618-2568 | 2007-06-08 |
| 1528314515 | Samuel Park Md A Medical Corporation | Anesthesiology | 22 Odyssey Ste 155, Irvine, CA 92618-3194 | 2012-07-27 |
| 1083932255 | Ariana Marie Nelson | Anesthesiology | 1 Medical Plaza Drive, Irvine, CA 92697-8633 | 2010-05-12 |
| 1275787442 | Napa Valley Anesthesia of The Crowns A Prof Med Corp | Anesthesiology | 5 Holland Ste 101, Irvine, CA 92618-2568 | 2008-11-13 |
| 1588810816 | Danny Botros | Anesthesiology | 6670 Alton Pkwy, Department of Anesthesiology, Irvine, CA 92618-3734 | 2008-08-18 |
| 1649426248 | Cecil Trevor Desilva | Anesthesiology | Gottschalk Medical Plz, 1 Medical Plaza Drive, Irvine, CA 92697-0001 | 2008-08-14 |
| 1255504270 | Los Angeles Anesthesia Medical Group | Anesthesiology | 5 Holland Ste 101, Irvine, CA 92618-2568 | 2008-04-10 |
| Find all providers in IRVINE | ||||
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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.