DR. BRANDON S PARK (NPI# 1801112891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801112891 |
| Entity Type | Individual |
| Full Name | DR. BRANDON S PARK |
| Credential | PHD |
| Practice Address |
2100 Napa Vallejo Hwy Napa CA 94558-6234 |
| Mailing Address |
1600 9th Street Room 205 Mailstop 2-3 Sacramento CA 95814-6414 |
| Practice Telephone | 7072535000 |
| Practice Fax Number | 7072535513 |
| Mailing Telephone | 9166542431 |
| Mailing Fax Number | 9166543186 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2011-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY24096 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487921540 | Brandon Hyungki Park | Physical Therapist | 511 Lincoln St Apt 7, Palisades Park, NJ 07650-2606 | 2011-11-17 |
| 1326504622 | Brandon Juyoung Park | Physical Therapist | 112 Newport Towne Ctr, Newport, TN 37821-7360 | 2019-02-12 |
| 1063675171 | Brandon Birg Park | Radiology | 389 S 900 E, Salt Lake Clinic, Salt Lake City, UT 84102-2310 | 2008-07-08 |
| 1811960123 | Brandon D Park | Nurse Practitioner | 5782 Adams Avenue Parkway, Washington Terrace, UT 84405 | 2006-02-08 |
| Street Address |
2100 NAPA VALLEJO HWY |
| City | NAPA |
| State | CA |
| Zip Code | 94558-6234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192103 | Amardeep Singh Sahota | Internal Medicine | 2100 Napa Vallejo Hwy, Napa, CA 94558-6293 | 2005-05-31 |
| 1578163903 | Mallori Choy Rahimnejad | Dietitian, Registered | 2100 Napa Vallejo Hwy, Napa, CA 94558-6293 | 2020-10-26 |
| 1477152551 | Esther Galletta | Psychologist | 2100 Napa Vallejo Hwy, Napa, CA 94558-6234 | 2020-10-20 |
| 1780201020 | Susan Kay Foreman | Counselor | 2100 Napa Vallejo Hwy, Napa, CA 94558-6234 | 2020-07-02 |
| 1467091397 | Casaundra K. Ortiz | Social Worker | 2100 Napa Vallejo Hwy, Napa, CA 94558-6293 | 2019-12-23 |
| 1487292587 | Darryl Poole | Counselor | 2100 Napa Vallejo Hwy, Napa, CA 94558-6234 | 2019-12-19 |
| 1053967406 | David Norman Marcus | Social Worker | 2100 Napa Vallejo Hwy, Napa, CA 94558-6234 | 2019-08-12 |
| 1689229502 | Victor Castro | Social Worker | 2100 Napa Vallejo Hwy, Napa, CA 94558-6234 | 2019-08-07 |
| 1386299550 | Laurieal Nutt | Student in an Organized Health Care Education/Training Program | 2100 Napa Vallejo Hwy, Napa, CA 94558-6234 | 2019-08-05 |
| 1780143396 | Elizabeth Amy Burris | Psychologist | 2100 Napa Vallejo Hwy, Napa, CA 94558 | 2019-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811542319 | Napa Solano Plastic Surgery. Inc. | Plastic Surgery | 1175 Trancas Street, Napa, CA 94558 | 2019-08-02 |
| 1891357851 | Guadalupe Barboza | Student in an Organized Health Care Education/Training Program | 2751 Napa Valley Corporate Drive, Building A, Mental Health Division, Napa, CA 94558 | 2019-06-30 |
| 1285154591 | Jacey J Castillo | Rehabilitation Practitioner | 2751 Napa Valley Corporate Dr. Bldg B, Napa, CA 94558 | 2017-06-27 |
| 1811447766 | Caitlin Ford | Massage Therapist | 2441 W Imola Ave, Napa, CA 94558 | 2016-10-04 |
| 1700252384 | Azucena Cortez | Student in an Organized Health Care Education/Training Program | 3450 Villa Ln. #3, Napa, CA 94558 | 2015-08-18 |
| 1982089603 | Vnessa Rotolo | Counselor | 2100 Napa Valley Hwy, Bldg 253 M1 & M2, Napa, CA 94558 | 2015-07-23 |
| 1346657772 | Catherine Gordon | Marriage & Family Therapist | 1001 Second Street, Suite 355, Napa, CA 94558 | 2014-07-17 |
| 1811308968 | Jordan A. Lamberton D.d.s., Inc. | Durable Medical Equipment & Medical Supplies | 3270 Beard Rd., Napa, CA 94558 | 2014-05-12 |
| 1801223797 | Ole Health | Clinic/Center | 780 Lincoln Ave, Napa, CA 94558 | 2013-10-09 |
| 1255766614 | Eldonna May Christie | Obstetrics & Gynecology | 3160 Mt. Veeder Rd., Napa, CA 94558 | 2013-09-04 |
| Find all providers in zip 94558 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184195240 | Donna Joy Andrews | Psychologist | 34 Franklin St, Napa, CA 94559-3904 | 2018-12-16 |
| 1669921391 | Jagdish Soni | Psychologist | 4225 Solano Ave # 538, Napa, CA 94558-1611 | 2016-09-22 |
| 1699113977 | Lisa Giordano | Psychologist | Department of State Hospitals Napa, 2100 Napa Vallejo Hwy., Napa, CA 94558 | 2013-06-10 |
| 1740556489 | North Bay Psychology | Psychologist | 1763 2nd St, Napa, CA 94559-2407 | 2012-03-27 |
| 1033357595 | Bret Mc Laughlin | Psychologist | 2025 Redwood Rd., Suite 8b, Napa, CA 94558 | 2009-01-21 |
| 1851472880 | Linda Bancke | Psychologist | 553 Jefferson St, Napa, CA 94559-3236 | 2006-10-17 |
| 1679666390 | James Richard Geisler | Psychologist | 1303 Jefferson St Ste 600a, Napa, CA 94559-2473 | 2006-10-02 |
| 1265451132 | Michael W Behles | Psychologist | 1447 4th St, Suite C, Napa, CA 94559-2805 | 2006-07-19 |
| 1295753341 | Gregory Yutaka Matsumoto | Psychologist | 2180 Jefferson St Ste 209, Napa, CA 94559-1250 | 2006-07-17 |
| 1487688644 | John R. Brandes | Psychologist | 1303 Jefferson St Ste 210a, Napa, CA 94559-2470 | 2006-07-11 |
| Find all providers in NAPA | ||||
Please comment or provide details below to improve the information on DR. BRANDON S 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.