JANICE PARK (NPI# 1225356959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225356959 |
| Entity Type | Individual |
| Full Name | JANICE PARK |
| Credential | M.D. |
| Practice Address |
4150 V St # 1110 Sacramento CA 95817-1460 |
| Mailing Address |
Po Box 232410 San Diego CA 92193-2410 |
| Practice Telephone | 9167342737 |
| Mailing Telephone | 8582496751 |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2017-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A119303 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275021354 | Janice Park | Dental Assistant | 16633 Carriage Pl, Hacienda Heights, CA 91745-3778 | 2018-04-25 |
| 1801406095 | Janice Flora Park | Pharmacist | 3701 Broadway, Oakland, CA 94611-5613 | 2020-08-03 |
| 1295398840 | Janice Haesun Park | Student in an Organized Health Care Education/Training Program | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2019-04-19 |
| Street Address |
4150 V ST # 1110 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-1460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639495658 | Alicia Gonzalez-flores | Internal Medicine | 4150 V St # 1110, Sacramento, CA 95817-1460 | 2010-04-15 |
| 1326434200 | Sheeva Johnson | Internal Medicine | 4150 V St # 1110, Sacramento, CA 95817-1460 | 2015-04-08 |
| 1073907051 | Ignacio Morales-carillo | Internal Medicine | 4150 V St # 1110, Sacramento, CA 95817 | 2015-03-27 |
| 1013301969 | Doris Chen | Psychiatry & Neurology | 4150 V St # 1110, Sacramento, CA 95817-1460 | 2015-03-27 |
| 1134513187 | Tatini Datta | Internal Medicine | 4150 V St # 1110, Sacramento, CA 95817-1460 | 2015-03-26 |
| 1013301225 | Gabriela Kuftinec | Student in an Organized Health Care Education/Training Program | 4150 V St # 1110, Sacramento, CA 95817-1460 | 2015-03-25 |
| 1013301290 | Jesse John Goitia Jr. | Student in an Organized Health Care Education/Training Program | 4150 V St # 1110, Sacramento, CA 95817-1460 | 2015-03-25 |
| 1083008262 | Ho-hin Choy | Student in an Organized Health Care Education/Training Program | 4150 V St # 1110, Sacramento, CA 95817-1460 | 2015-03-25 |
| 1376937656 | Shruti Patel | Student in an Organized Health Care Education/Training Program | 4150 V St # 1110, Sacramento, CA 95817-1460 | 2015-03-24 |
| 1083008510 | Sarah Ying Jun Chan | Internal Medicine | 4150 V St # 1110, Sacramento, CA 95817 | 2015-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992169171 | Alonso Diaz | Internal Medicine | 4150 V Street, Pssb Suite 3500, Sacramento, CA 95817 | 2016-04-13 |
| 1518259415 | Nick D Youssefi | Internal Medicine | 6600 Bruceville Rd Dept Of, Sacramento, CA 95823-4671 | 2011-05-10 |
| 1710213517 | Lawrence W Gold | Internal Medicine | 4150 V Street, Nephrology, Pssb 3500, Sacramento, CA 95817-2201 | 2009-10-29 |
| 1508037292 | Suresh Appasamy | Internal Medicine | 4150 V St Suite 3500-nephrology, Sacramento, CA 95817-1460 | 2008-03-20 |
| 1730291113 | Lorien Sky Dalrymple | Internal Medicine | 4150 V St, #3500 Pssb, Sacramento, CA 95817 | 2006-08-31 |
| 1386673598 | Janeline T. Daubert | Internal Medicine | 4150 V St # 3500, University of California, Davis, Sacramento, CA 95817-1460 | 2006-07-01 |
| 1780635920 | Johan Winoto | Internal Medicine | 777 Campus Commons Rd, Suite 120, Sacramento, CA 95825-8309 | 2006-05-12 |
| 1275060303 | Capital Nephrology Access Center, LLC | Internal Medicine | 1111 Exposition Blvd Ste 300, Sacramento, CA 95815-4324 | 2017-05-19 |
| 1437680261 | Nandakishor Kapa | Internal Medicine | 4150 V St # 1100, Sacramento, CA 95817-1460 | 2017-03-23 |
| 1811377062 | John Harrison Howard IIi | Internal Medicine | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2015-06-03 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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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.