DR. SUSAN LEE PARK (NPI# 1306921515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306921515 |
| Entity Type | Individual |
| Full Name | DR. SUSAN LEE PARK |
| Credential | DDS |
| Practice Address |
2875 Middlefield Rd Ste 1 Palo Alto CA 94306-2548 |
| Practice Telephone | 6503214035 |
| Practice Fax Number | 6503212367 |
| Mailing Telephone | 6503214035 |
| Mailing Fax Number | 6503212367 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30806 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598117012 | Susan S Park | Pharmacist | 15131 E Crestline Ave, Centennial, CO 80015-2517 | 2016-07-08 |
| 1104230838 | Susan Park | Dentist | 3607 Old Spanish Trl, Suite G, Houston, TX 77021 | 2014-06-20 |
| 1922253673 | Susan Clair Park | Physical Therapist | 7 Spur Rd, Lansdale, PA 19446-1435 | 2008-11-21 |
| 1467668772 | Susan Yooshin Park | Radiology | 8 Calais, Newport Coast, CA 92657-1055 | 2007-05-15 |
| 1497309413 | Susan S Park | Student in an Organized Health Care Education/Training Program | 5645 Main St, Flushing, NY 11355-5045 | 2019-07-29 |
| 1306309463 | Susan Hahn Park | Speech-Language Pathologist | 2525 Brea Blvd, Fullerton, CA 92835-2787 | 2019-04-07 |
| 1962979989 | Susan S Park | Registered Nurse | 420 S 5th Ave, West Reading, PA 19611-2143 | 2018-10-29 |
| 1609376797 | Susan Young Park | Nurse Practitioner | 2242 Repsdorph Rd, Seabrook, TX 77586-1566 | 2018-02-15 |
| 1114253515 | Susan Jung Park | Family Medicine | 11420 Warner Ave, Fountain Valley, CA 92708-2529 | 2009-10-20 |
| 1003070640 | Susan Jin-sun Park | Family Medicine | 661 Sierra Rose Dr, Reno, NV 89511 | 2008-07-14 |
| Street Address |
2875 MIDDLEFIELD RD STE 1 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94306-2548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043308075 | James Dana Stephens | Dentist | 2875 Middlefield Rd Ste 1, Palo Alto, CA 94306-2548 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126538 | Vasily Salov | Massage Therapist | 2313 Park Blvd, Palo Alto, CA 94306 | 2020-08-25 |
| 1568982569 | Shian Hong | Registered Nurse | 270 Grant Avenue, Palo Alto, CA 94306 | 2017-06-21 |
| 1386092229 | Woo Jung Park | Acupuncturist | 4290 Wilkie Way #c, Palo Alto, CA 94306 | 2016-06-01 |
| 1225442205 | Keiko Gill | Chiropractor | 480 California Ave Ste 103, Palo Alto, CA 94306 | 2014-06-17 |
| 1093147092 | Thuy Nguyen | Optometrist | 109 California Ave Ste D101a, Palo Alto, CA 94306 | 2013-08-01 |
| 1750685293 | Erica Mikhli | Physician Assistant | 300 Pasteur Drive Cvrb 2nd Floor, Stanford, CA 94306 | 2010-12-24 |
| 1225262553 | Rina Biren Shah | Family Medicine | 270 Grant Ave., Mayview Community Health Center, Palo Alto, CA 94306 | 2009-05-14 |
| 1669640173 | Leah Zialcita | Physical Therapist | 2345 Yale Street, Palo Alto, CA 94306 | 2008-02-19 |
| 1578761631 | Mary June Asenathe Wagner | Dentist | 1795 El Camino Real #100, Palo Alto, CA 94306 | 2007-07-10 |
| 1972628923 | Lillian Landsman Burt | Social Worker | 2 Roosevelt Circle, Palo Alto, CA 94306 | 2007-03-20 |
| Find all providers in zip 94306 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700371127 | Jamie Marie Paychev | Dentist | 1691 El Camino Real Ste 300, Palo Alto, CA 94306-1054 | 2018-06-27 |
| 1265957179 | Samantha Mohan | Dentist | 2290 Birch St Ste C, Palo Alto, CA 94306-1559 | 2017-08-11 |
| 1386916534 | Elizabeth Anne Hagan | Dentist | 416 Waverley St, Suite A, Palo Alto, CA 94301-1718 | 2012-02-03 |
| 1710278619 | David Lee Vander Wilt | Dentist | 3515 Alma St, Palo Alto, CA 94306-3539 | 2011-04-26 |
| 1467756817 | Seong Keun Yoo | Dentist | 2290 Birch St Ste B, Palo Alto, CA 94306-1559 | 2010-12-28 |
| 1740580109 | Kathleen Ying Kiu Yau | Dentist | 778 Encina Grande Dr, Palo Alto, CA 94306-3146 | 2010-11-01 |
| 1689902363 | Eric Son Kwon | Dentist | 850 Middlefield Rd Ste 2, Palo Alto, CA 94301-2918 | 2009-11-18 |
| 1578794996 | Whitney Ann Lorenz | Dentist | 652 Homer Avenue, Palo Alto, CA 94301-2827 | 2009-08-03 |
| 1083840680 | Aarti Tayal | Dentist | 544 Forest Ave, Palo Alto, CA 94301-2611 | 2009-06-09 |
| 1184874984 | Behnaz Bakhshi | Dentist | 900 Welch Rd Ste 100, Palo Alto, CA 94304-1801 | 2008-09-29 |
| Find all providers in PALO ALTO | ||||
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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.