CHRISTOPHER WILLIAM PARK


Address: 13280 Evening Creek Dr S, Suite 110, San Diego, CA 92128-4101
Phone: 8585463800

CHRISTOPHER WILLIAM PARK (NPI# 1700863198) 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) 1700863198
Entity Type Individual
Full Name CHRISTOPHER WILLIAM PARK
Credential MD
Practice Address 13280 Evening Creek Dr S
Suite 110
San Diego
CA 92128-4101
Mailing Address 3509 N 34th St
Phoenix
AZ 85018-5703
Practice Telephone 8585463800
Mailing Telephone 5733565886
Enumeration Date 2005-12-27
Last Update Date 2016-08-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
2008025572 MO Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
A89672 CA Allopathic & Osteopathic Physicians

Other Providers CHRISTOPHER PARK

NPI Name Taxonomy Address Enumeration
1558776062 Christopher Park Pediatrics Pediatric Hematology Oncology Cb#7236 170 Manning Drive, Chapel Hill, NC 27599 2014-06-23
1700209954 Christopher Park Case Manager/Care Coordinator 18623 Gale Ave Bldg 154, City of Industry, CA 91748-1342 2014-01-23
1013203405 Christopher Jin Park Dentist 16330 Se 256th St, Covington, WA 98042-4233 2011-06-23
1710181078 Christopher Lane Park Family Medicine 11 E Jefferson St, Pontotoc, MS 38863-2807 2007-06-12
1902981376 Christopher Todd Park Chiropractor 401 W Vandament Ave Ste 103, Yukon, OK 73099-4654 2006-10-26
1467995985 Christopher Park Physical Therapist 600 Washington Ave, Suite 18u-a, Philadelphia, PA 19147-4836 2016-12-01
1831560283 Christopher Park Social Worker 500 W 10th St, Wilmington, DE 19801-1422 2015-10-12
1497885339 Christopher A Park Plastic Surgery 3153 Dauphin St, Mobile, AL 36606-4061 2007-03-07
1710013453 Christopher Andrew Park Occupational Therapist 1717 Centennial Blvd, Suite 6, Springfield, OR 97477-3378 2007-02-26
1386786317 Christopher Park Pathology 1275 York Ave, New York, NY 10065-6007 2007-02-13

Office Location

Street Address 13280 EVENING CREEK DR S
SUITE 110
City SAN DIEGO
State CA
Zip Code 92128-4101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629374061 David Lee Radiology 13280 Evening Creek Dr S, #110, San Diego, CA 92128-4101 2011-02-02
1740518547 Lien Nhu Doan Radiology 13280 Evening Creek Dr S, Suite 110, San Diego, CA 92128-4101 2009-12-07
1457587073 Jill Kei Furubayashi Radiology 13280 Evening Creek Dr S, Ste 110, San Diego, CA 92128-4101 2009-06-10
1922260033 Ryan Anthony Frederiksen Internal Medicine 13280 Evening Creek Dr S, San Diego, CA 92128-4101 2008-06-30
1427210855 Max Rosenberg Pollock Internal Medicine 13280 Evening Creek Dr S, Suite 110, San Diego, CA 92128-4101 2008-06-26
1841304029 Kevin P Rudny Radiology 13280 Evening Creek Dr S, Suite 110, San Diego, CA 92128-4101 2006-08-18
1992719165 Robert Brian Fortuna Radiology 13280 Evening Creek Dr S, Suite 110, San Diego, CA 92128-4101 2006-07-27
1881613586 Vishal Verma Radiology 13280 Evening Creek Dr S, Suite 110, San Diego, CA 92128-4101 2006-07-19
1821060724 Manal Mosaad Schoellerman Radiology 13280 Evening Creek Dr S, Suite 110, San Diego, CA 92128-4101 2006-02-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518585371 Alicia Ford Behavior Technician 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 2020-07-08
1164087573 Madeleine White Dietitian, Registered 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 2019-05-01
1053807677 Joele Ghosn Speech-Language Pathologist 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 2018-07-06
1376034348 Eddie Reginald Burston II In Home Supportive Care 12727 Camino Emparrado, San Diego, CA 92128 2018-05-24
1336659218 Ryan Fong Physician Assistant 15004 Innovation Drive (s97), San Diego, CA 92128 2017-10-05
1508316191 Araceli Flores Behavioral Analyst 15737 Innovation Dr, Suite 200, San Diego, CA 92128 2016-10-07
1003283961 Katherine Dishner Hearing Instrument Specialist 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 2015-08-27
1205212586 Mobilia Dmd Inc. Point of Service 12405 Rancho Bernardo Rd., San Diego, CA 92128 2015-08-10
1346623634 Angela Christine Storck-petersen Dietitian, Registered 11768 Caminito Corriente, San Diego, CA 92128 2015-07-04
1134526874 Breeana Rose Lancaster Speech-Language Pathologist 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 2014-11-24
Find all providers in zip 92128

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790208155 St. Jude Radiology Medical Group, Inc. Radiology 8070 Entrada De Luz E, San Diego, CA 92127-2561 2017-07-18
1225586423 Regional Diagnostic Imaging Radiology 3731 Torrey View Ct, San Diego, CA 92130-2623 2016-09-15
1093127680 William James Tom Radiology 200 West Arbor Drive, Mc 0834, San Diego, CA 92103-0834 2014-05-30
1649697947 Ashley Caitlin Altman Radiology Uc San Diego Health, 200 West Arbor Drive, Mc 8829, San Diego, CA 92103 2014-03-25
1477811693 Michele Christina Mcgahan Radiology 8745 Aero Drive #200, San Diego, CA 92193-3540 2012-04-25
1447557996 Luke R Scalcione Radiology 7540 Charmant Dr, Apt 1216, San Diego, CA 92122-5044 2011-02-18
1144537606 Jasmine Jamin Koo Radiology 5330 Carroll Canyon Rd Ste 140, San Diego, CA 92121-3758 2010-09-04
1265743595 David R Wallace Jr. Radiology 200 W Arbor Dr # Mc0834, Department of Radiology, San Diego, CA 92102-0834 2010-07-01
1881837748 John Joseph Krol Radiology 11125 Red Cedar Dr, San Diego, CA 92131-1309 2009-04-08
1700022712 Thomas N. Folan Radiology 425 W Beech St Unit 1707, San Diego, CA 92101-2965 2008-12-22
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92128

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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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