DR. JASON A PARK


Address: 1111 Exposition Blvd Bldg 400 Suite A, Sacramento, CA 95815-4314
Phone: 9168135557

DR. JASON A PARK (NPI# 1184608481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184608481
Entity Type Individual
Full Name DR. JASON A PARK
Credential M.D.
Practice Address 1111 Exposition Blvd Bldg 400 Suite A
Sacramento
CA 95815-4314
Practice Telephone 9168135557
Mailing Telephone 9168135557
Enumeration Date 2005-12-01
Last Update Date 2016-12-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery A62812 CA Allopathic & Osteopathic Physicians

Other Providers JASON PARK

NPI Name Taxonomy Address Enumeration
1629561667 Jason Chan Hyung Park Physical Therapist 2440 W Carson St, Torrance, CA 90501-3146 2018-06-13
1912318908 Jason Park Student in an Organized Health Care Education/Training Program Hospital Dentistry Westchester Hl, Rm 151, Stony Brook, NY 11794-8711 2014-05-13
1558424234 Jason Shinho Park Psychiatry & Neurology Rockland Psychiatric Center, Orangeburg, NY 10962 2006-12-18
1093316440 Jason Park Dietitian, Registered 9600 Veterans Dr, Bldg 200, A-120-nfs, #f127, Tacoma, WA 98493 2020-11-03
1114543360 Jason Park Student in an Organized Health Care Education/Training Program 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 2020-06-24
1376178731 Jason Park Occupational Therapist 535 Grand Ave, Englewood, NJ 07631-4934 2020-03-06
1104305093 Jason Park Dentist 1418 164th St Sw Ste 100, Lynnwood, WA 98087-8500 2018-08-10
1639674963 Jason Ki Park Social Worker 9330 59th Ave Sw, Lakewood, WA 98499-2858 2018-03-28
1033504196 Jason Sun-hyung Park Otolaryngology 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2015-04-04
1407000599 Jason Kieth Park Chiropractor 333 W El Camino Real, Suite 390, Sunnyvale, CA 94087-1973 2008-11-16

Office Location

Street Address 1111 EXPOSITION BLVD BLDG 400 SUITE A
City SACRAMENTO
State CA
Zip Code 95815-4314

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255958187 Douglas Benjamin Gudeman Counselor Alternative House-residential Treatment Center, 1550 Juliesse Avenue, Sacramento, CA 95815 2020-06-26
1366091894 Twin Rivers Unified School District Supports Brokerage 3051 Fairfield Street, Sacramento, CA 95815 2019-09-07
1669941159 Maria Luisa Plasencia Registered Nurse Martin Luther King Jr. Technology Academy, 3051 Fairfield St, Sacramento, CA 95815 2018-11-14
1700386547 Rww Outpatient Rehab Services, LLC Clinic/Center 1610 Arden Way Ste 195, Sacramento, CA 95815 2018-02-19
1114439262 Ahc Healthcare of Sacramento Corporation Skilled Nursing Facility 1411 Expo Pkwy, Sacramento, CA 95815 2017-10-30
1588173686 Rebekah Collette Curtis Counselor 1048 Dixieanne Ave. #28, Sacramento, CA 95815 2017-09-21
1497284145 Prohealth Home Care Inc Hospice Care, Community Based 1375 Exposition Blvd Suite 250b, Sacramento, CA 95815 2017-06-07
1386982296 Shailesh M Asaikar Md Inc Clinic/Center 1111 Exposition Blvd., Bldg 700, Sacramento, CA 95815 2013-01-28
1609129618 Jackey Care's Housing Clinic/Center 2447 Boxwood St, Sacramento, CA 95815 2012-10-16
1144549304 Rowena Deleon Nolasco Nurse Practitioner 577 Las Palmas Ave., Health for All, Sacremento, CA 95815 2010-05-26
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386118404 Shirley Domingo, M.d., Inc. Surgery 3939 J St Ste 305, Sacramento, CA 95819-3639 2019-01-11
1205366101 Medamerica Physician Solutions Inc Surgery 3000 L St Ste 200, Sacramento, CA 95816-5248 2017-06-14
1124555388 Tatyana Polyak Surgery 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 2017-05-18
1164976585 Rana Khan Surgery 8120 Timberlake Way Ste 212, Sacramento, CA 95823 2016-08-15
1821449430 Jason A Park Md A Profesional Medical Corporation Surgery 1111 Exposition Blvd Ste 400a, Sacramento, CA 95815-4336 2016-06-24
1295115616 Marissa Mendez Surgery 2335 Stockton Boulevard, Naob -5th Floor, Sacramento, CA 95817 2015-06-01
1669815940 Shushmita Mehjabin Ahmed Surgery 2335 Stockton Blvd Naob 6th Floor, Sacramento, CA 95817-1418 2013-04-16
1588921795 Claire E Graves Surgery 4501 X Street, Suite 3010, Sacramento, CA 95817-1418 2012-04-13
1164797684 Luis Armando Godoy Surgery 2335 Stockton Blvd., Naob Suite 6120, Sacramento, CA 95817-2200 2012-03-16
1649560632 Victoria Lyo Surgery 2315 Stockton Blvd. Department of Surgery, Naob Suite 6113, Sacramento, CA 95817-2201 2011-04-12
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Competitor

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City SACRAMENTO
Zip Code 95815

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Dataset Information

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.

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