ANTHONY J PARK (NPI# 1265751697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265751697 |
| Entity Type | Individual |
| Full Name | ANTHONY J PARK |
| Credential | MD |
| Practice Address |
10800 Magnolia Ave Mob 2, 2nd Floor Riverside CA 92505-3043 |
| Mailing Address |
10800 Magnolia Avenue Kaiser Permanente Riverside Medical Center Riverside CA 92505-0000 |
| Practice Telephone | 8669847483 |
| Mailing Telephone | 8669847483 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2015-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A135983 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720386311 | Anthony T Park | Dentist | 3540 Wilshire Blvd Ste 210, Los Angeles, CA 90010-2346 | 2011-03-04 |
| 1942705769 | Anthony Sungwook Park | Physical Medicine & Rehabilitation | 300 1st Ave, Charlestown, MA 02129 | 2018-03-25 |
| 1336227438 | Anthony K. Park | Internal Medicine | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2006-11-02 |
| 1417064742 | Anthony J Park | Obstetrics & Gynecology | 8400 Washington Ave, Racine, WI 53406 | 2006-08-23 |
| Street Address |
10800 MAGNOLIA AVE MOB 2, 2ND FLOOR |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92505-3043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457352783 | Patrick Joseph S Alix | Internal Medicine | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2005-08-09 |
| 1306451885 | Tina Marsina Menedjian | Pharmacist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-09-11 |
| 1346859246 | Christina Marie Stephenson | Pharmacist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-07-27 |
| 1669095329 | Alvin Fong | Pharmacist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-05-28 |
| 1114555810 | Michelle Eunbi Ko | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-29 |
| 1821625062 | Christopher Mark Bradburne | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-26 |
| 1740817659 | Lauren Khan | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-23 |
| 1841826781 | Jessica Sherly Gurning | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-22 |
| 1912533852 | Robert Yousif | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-22 |
| 1770119323 | Erika Layne | Dietitian, Registered | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
| 1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
| 1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
| 1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
| 1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
| 1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
| 1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
| 1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
| 1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
| 1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
| Find all providers in zip 92505 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104152149 | Brandon Garret Louie | Urology | 4244 Riverwalk Pkwy Ste 240, Riverside, CA 92505-3372 | 2009-10-27 |
| 1629243837 | Ken Takesita | Urology | 4500 Brockton Ave Ste 301, Riverside, CA 92501-4027 | 2008-04-29 |
| 1912116989 | Howard A Aubert | Urology | 7117 Brockton Ave Fl 2, Riverside, CA 92506-2658 | 2007-05-22 |
| 1093055170 | Alpha Urology Group, Inc. | Urology | 4244 Riverwalk Pkwy, Suite 240, Riverside, CA 92505-8509 | 2013-02-26 |
| 1215267307 | Aravind Chandrashekar | Urology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2010-01-12 |
| 1598910457 | Urologic Specialists of New England, LLC | Urology | 250 Wampanoag Trl, Suite 203, Riverside, RI 02915-2218 | 2008-11-19 |
| 1235356999 | Benjamin Kattle Yang | Urology | 7117 Brockton Ave., Riverside, CA 92506-3912 | 2007-04-20 |
| 1669597175 | Gaurang S Shah | Urology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2007-03-21 |
| 1427186881 | Timothy John Pietro | Urology | 4500 Brockton Ave, Suite 301, Riverside, CA 92501-4027 | 2007-02-28 |
| 1619036290 | Joseph I. Sardina | Urology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-12-08 |
| Find all providers in RIVERSIDE | ||||
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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.