THOMAS CHIN PARK (NPI# 1609976547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609976547 |
| Entity Type | Individual |
| Full Name | THOMAS CHIN PARK |
| Credential | MD |
| Practice Address |
2725 Capitol Ave Suite 402 Sacramento CA 95816-6004 |
| Mailing Address |
10470 Old Placerville Rd Suite100 Sacramento CA 95827-2539 |
| Practice Telephone | 9162629400 |
| Practice Fax Number | 9162629399 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2015-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
G68104 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G681041 | 05 | |
| CA | RAILROAD MEDICARE | 770003054 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063619419 | Thomas Park | Dentist | 134 New Haven Rd, Seymour, CT 06483-3908 | 2007-06-29 |
| 1619359288 | Thomas Park | Internal Medicine | 1600 Sw Archer Rd # 100277, Gainesville, FL 32610 | 2015-06-19 |
| 1790055358 | Thomas Park | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2012-01-12 |
| 1669756045 | Thomas Park | Pharmacist | 1260 Liberty Rd, Eldersburg, MD 21784-7928 | 2011-10-04 |
| 1174843163 | Thomas Park | Psychiatry & Neurology | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2010-06-02 |
| 1629169412 | Thomas T Park | Psychiatry & Neurology | 4160 John R St, 916, Detroit, MI 48201-2020 | 2006-09-27 |
| 1609835198 | Thomas Park | Internal Medicine | 601 Elmwood Ave, Box 646, Rochester, NY 14642-0001 | 2006-03-22 |
| 1194707562 | Thomas S Park | Pharmacist | 23357 Pacific Coast Hwy, Malibu, CA 90265-4957 | 2005-11-18 |
| 1952304792 | Thomas M Park | Orthopaedic Surgery | 3334 Capital Medical Blvd, Ste. 400, Tallahassee, FL 32308-8405 | 2005-05-24 |
| Street Address |
2725 CAPITOL AVE SUITE 402 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-6004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861493413 | Roger Edward Mendis | Internal Medicine | 2725 Capitol Ave, Suite 300, Sacramento, CA 95816-6004 | 2005-08-04 |
| 1902151269 | Ashlee Kristine Harrah | Physician Assistant | 2725 Capitol Ave, Suite 302, Sacramento, CA 95816-6004 | 2012-07-23 |
| 1972862613 | Patrick Sean Kilday | Urology | 2725 Capitol Ave, Suite 400, Sacramento, CA 95816 | 2012-05-15 |
| 1295092542 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 2725 Capitol Ave, Sacramento, CA 95816-6004 | 2012-04-11 |
| 1548538929 | Radiological Associates of Sacramento Medical Group Inc | Nuclear Medicine | 2725 Capitol Ave, Sacramento, CA 95816-6004 | 2011-12-13 |
| 1285931147 | Adam R. Borruso | Nurse Practitioner | 2725 Capitol Ave, Suite 400, Sacramento, CA 95816-6004 | 2011-02-11 |
| 1467680694 | Leah Gilana Gessin | Physician Assistant | 2725 Capitol Ave, Sacramento, CA 95816-6006 | 2009-06-25 |
| 1639307267 | Renee Campbell Garner | Speech-Language Pathologist | 2725 Capitol Ave, Suite 404, Sacramento, CA 95816-6004 | 2009-06-22 |
| 1518145002 | Dion Francis Parks | Registered Nurse | 2725 Capitol Ave, Suite 302, Sacramento, CA 95816-6004 | 2008-02-06 |
| 1023203924 | Yuhwan Hong | Orthopaedic Surgery | 2725 Capitol Ave, Suite 302, Sacramento, CA 95816-6004 | 2007-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619389939 | Andrew Wishy | Surgery | 5749 Bridgecross Dr, Sacramento, CA 95835-1902 | 2014-05-21 |
| 1730478082 | Steven Maximus | Surgery | 4860 Y St Ste 2100, Sacramento, CA 95817-2309 | 2011-04-06 |
| 1841218690 | Richard Edward Ward | Surgery | 3941 J St 362, Sacramento, CA 95819-3633 | 2006-07-18 |
| 1295753036 | Charles Thomas Brownridge | Surgery | 2800 L St Ste 260, Sacramento, CA 95816-5616 | 2006-07-18 |
| 1508841537 | Daniel Peter Link Jr. | Surgery | 500 University Ave Ste 250, Sacramento, CA 95825-6525 | 2005-12-13 |
| 1417512195 | Kathryn Lambeth Dilosa | Surgery | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2019-05-07 |
| 1730587379 | Eric Kuo | Surgery | 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | 2014-12-14 |
| 1174949085 | Josefina Anita Dominguez | Surgery | 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | 2014-03-16 |
| 1417392663 | Mimmie Kwong | Surgery | 4860 Y St Ste 2100, Sacramento, CA 95817-2307 | 2013-05-01 |
| 1982946687 | Ronald G. Jan, M.d., Inc | Surgery | 5025 J St, Suite 312, Sacramento, CA 95819 | 2013-03-20 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
Please comment or provide details below to improve the information on THOMAS CHIN 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.