LIGAYA PARK (NPI# 1083849012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083849012 |
| Entity Type | Individual |
| Full Name | LIGAYA PARK |
| Credential | D.O. |
| Practice Address |
2725 Mendocino Ave Santa Rosa CA 95403-2805 |
| Mailing Address |
3536 Mendocino Ave Ste 200 Santa Rosa CA 95403-3634 |
| Practice Telephone | 7075454537 |
| Practice Fax Number | 7075456726 |
| Mailing Telephone | 7075256485 |
| Mailing Fax Number | 7075736918 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2017-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 20A12072 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | P01774446 | 01 |
| CA | 1083849012 | 05 |
| Street Address |
2725 MENDOCINO AVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649265976 | Heather Noel Silva | Physician Assistant | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2005-09-13 |
| 1558812875 | Northern California Medical Assoc Inc | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2016-10-21 |
| 1114399334 | Angela Abboud | Physician Assistant | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2015-10-27 |
| 1760725394 | Brianne Zechlinski Dickey | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2013-04-02 |
| 1649599648 | Jennifer Hayes | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2010-06-01 |
| 1083949853 | Judith Hong | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2009-10-12 |
| 1942483755 | Pisenti Chiropractic, Inc | Chiropractor | 2725 Mendocino Ave, Suite C, Santa Rosa, CA 95403-2805 | 2007-12-14 |
| 1588879373 | Redwood Dermatopathology Laboratory | Clinical Medical Laboratory | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2007-05-14 |
| 1710913231 | Redwood Family Dermatology Medical Associates | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2006-06-25 |
| 1609862820 | Albert Peng | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2005-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235782921 | Northern California Medical Assoc Inc | Dermatology | 4727 Hoen Ave Ste A, Santa Rosa, CA 95405-7898 | 2019-07-22 |
| 1023252350 | Erik Stephen Cabral | Dermatology | 3562 Round Barn Cir Ste 320, Santa Rosa, CA 95403-0182 | 2009-04-30 |
| 1326154352 | Stephen D. Schwartz | Dermatology | 4727a Hoen Ave, Santa Rosa, CA 95405-7862 | 2006-08-22 |
| 1619962552 | Khanh Yen Truong | Dermatology | 196 Wikiup Dr, Santa Rosa, CA 95403-7773 | 2005-09-16 |
| 1417319757 | Jennifer Freeman | Dermatology | 3883 Airway Dr Ste 203, Santa Rosa, CA 95403-1671 | 2016-03-25 |
| 1770995748 | Northern California Medical Assoc Inc | Dermatology | 1111 Sonoma Ave, Ste 202, Santa Rosa, CA 95405-4819 | 2014-05-27 |
| 1760725394 | Brianne Zechlinski Dickey | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2013-04-02 |
| 1649599648 | Jennifer Hayes | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2010-06-01 |
| 1083949853 | Judith Hong | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2009-10-12 |
| 1346426848 | Julie Christine Plante | Dermatology | 6574 Oakmont Dr, Ste B, Santa Rosa, CA 95409-5958 | 2008-01-14 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on LIGAYA PARK.
| 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.