JENNIFER PARK (NPI# 1033757455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033757455 |
Entity Type | Individual |
Full Name | JENNIFER PARK |
Practice Address |
1840 Ventura Blvd Camarillo CA 93010-7848 |
Practice Telephone | 8054824848 |
Mailing Telephone | 8054824848 |
Enumeration Date | 2019-12-16 |
Last Update Date | 2019-12-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174095210 | Jennifer Park | Counselor | 20 S 36th St Ste 201, Camp Hill, PA 17011-4355 | 2018-12-31 |
1538510599 | Jennifer Park | Dentist | 5750 Dow Ave Apt 241, Alexandria, VA 22304-4071 | 2016-06-30 |
1568880318 | Jennifer Park | Ophthalmology | 1855 W Taylor St Ste 3.138, Chicago, IL 60612 | 2014-03-30 |
1427392760 | Jennifer Alane Park | Social Worker | 7000 Oak Forest Ln, Bethesda, MD 20817-2124 | 2012-11-26 |
1063402147 | Jennifer M Park | Psychiatry & Neurology | 1355 Beverly Rd, Suite 225, Mc Lean, VA 22101-3651 | 2005-10-28 |
1063024552 | Jennifer Park | Pharmacist | 520 Convery Blvd, Perth Amboy, NJ 08861 | 2020-08-18 |
1740817642 | Jennifer Eun Kyong Park | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave # Chs27139, Los Angeles, CA 90095-3075 | 2020-03-23 |
1417594672 | Jennifer Park | Pharmacist | 1650 Decoto Rd, Union City, CA 94587-3544 | 2019-12-06 |
1083260558 | Jennifer Park | Social Worker | 323 W Mulberry St, Watseka, IL 60970-1568 | 2019-08-12 |
1982265948 | Jennifer Heijoon Park | Student in an Organized Health Care Education/Training Program | 20 York St, New Haven, CT 06510-3220 | 2019-06-21 |
Street Address |
1840 VENTURA BLVD |
City | CAMARILLO |
State | CA |
Zip Code | 93010-7848 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588261366 | Edith Gallardo | Behavior Technician | 400 Mobile Avenue Suite A-3, Camarillo, CA 93010 | 2020-10-05 |
1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
1518509678 | Esther Marie Brown Gonzalez | Technician | 2826 Munson St, Camarilla, CA 93010 | 2019-10-10 |
1023666385 | Nancy Monetta Wigert | Speech-Language Pathologist | 155 Granada Street #a, Camarillo, CA 93010 | 2019-08-29 |
1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
1861977662 | Marina Wischnack | Psychologist | 1200 Paseo Camarillo, Suite 245, Camarillo, CA 93010 | 2018-09-27 |
1417430620 | Peter Lawrence Mcdermott | Anesthesiology | 141 Lapatera Drive, Camarillo, CA 93010 | 2018-09-13 |
1689162521 | Mehgan Lynn Lambert | Specialist | 333 Skyway Drive, Camarillo, CA 93010 | 2018-04-26 |
1134643208 | Hailey Kay Kohler | Social Worker | 692 Spring Oak Road Unit 721, Camarillo, CA 93010 | 2017-08-01 |
1174052369 | Demi Shugrue | Counselor | 2021 Sperry Ave, Suite 37, Ventura, CA 93010 | 2017-06-09 |
Find all providers in zip 93010 |
Taxonomy Code | 332BC3200X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Customized Equipment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922609106 | Cerotto, Inc | Durable Medical Equipment & Medical Supplies | 1660 Chicago Ave Ste M9, Riverside, CA 92507-2052 | 2020-11-04 |
1568060481 | Aimee Trujillo Dds Inc | Durable Medical Equipment & Medical Supplies | 26302 La Paz Rd Ste 204, Mission Viejo, CA 92691-5328 | 2020-10-13 |
1154933588 | Iwalk Free, Inc. | Durable Medical Equipment & Medical Supplies | 130 N Marina Dr, Long Beach, CA 90803-4601 | 2020-08-18 |
1578171575 | Eagle Medical Packaging Sterilization Inc | Durable Medical Equipment & Medical Supplies | 2921 Union Rd, Paso Robles, CA 93446-7316 | 2020-07-16 |
1629696166 | American Surgical Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 17581 Irvine Blvd Ste 116, Tustin, CA 92780-3123 | 2020-07-10 |
1942828694 | Cencal Medical, Inc. | Durable Medical Equipment & Medical Supplies | 220 S Akers St Ste C, Visalia, CA 93291-5185 | 2020-07-09 |
1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
1225659873 | I2b Networks, Inc | Durable Medical Equipment & Medical Supplies | 8830 Complex Dr, San Diego, CA 92123-1404 | 2020-05-05 |
1811522592 | Precision Patient Outcomes, Inc. | Durable Medical Equipment & Medical Supplies | 808 Gilman St, Berkeley, CA 94710-1422 | 2020-03-03 |
1114551843 | Rac & Associates, Inc | Durable Medical Equipment & Medical Supplies | 42389 Winchester Rd, Temecula, CA 92590-4851 | 2020-03-03 |
Find all providers with the same taxonomy |
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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.