DR. JONG CHAN PARK (NPI# 1801826904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801826904 |
| Entity Type | Individual |
| Full Name | DR. JONG CHAN PARK |
| Credential | M.D. |
| Practice Address |
900 Kiely Blvd Santa Clara CA 95051-5329 |
| Mailing Address |
Hospital Medicine, 3rd Floor 700 Lawrence Expressway Santa Clara CA 95051 |
| Practice Telephone | 8082365253 |
| Mailing Telephone | 4088517600 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A97025 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386816858 | Jong Keun Park | Physical Medicine & Rehabilitation | 232 Broad Ave Ste 208, Palisades Park, NJ 07650-1565 | 2008-03-25 |
| 1548244460 | Jong Kon Park | Plastic Surgery | 235 Walnut St, Framingham, MA 01702-7592 | 2005-12-05 |
| 1508493008 | Jong Hyun Park | Student in an Organized Health Care Education/Training Program | 1200 N State St, Los Angeles, CA 90033-1083 | 2020-03-25 |
| 1205460847 | Jong Park | Pharmacist | 4901 Spring St, Mount Pleasant, WI 53406-2901 | 2020-02-22 |
| 1386173870 | Jong Park | Internal Medicine | 2100 Dorchester Ave, Boston, MA 02124-5615 | 2017-06-08 |
| 1265804553 | Jong Park | Pharmacist | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2015-10-26 |
| 1356721922 | Jong Kwan Park | Student in an Organized Health Care Education/Training Program | 30 Prospect Ave, Hackensack University Medical Center, Hackensack, NJ 07601-1915 | 2015-06-09 |
| 1760749352 | Jong Ho Park | Acupuncturist | 2707 S Diamond Bar Blvd, Suite 205, Diamond Bar, CA 91765-3500 | 2012-04-19 |
| 1952526972 | Jong Park | Radiology | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2007-04-16 |
| 1811038672 | Jong T Park | Physical Therapist | 2906 Crossing Ct, Champaign, IL 61822-6163 | 2007-02-12 |
| Street Address |
900 KIELY BLVD |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95051-5329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003937285 | Swarna L Koneru | Dietitian, Registered | 900 Kiely Blvd, Santa Clara, CA 95051-5329 | 2007-04-03 |
| 1518096924 | Lawrence George Dong | Specialist | 900 Kiely Blvd, Santa Clara, CA 95051-5329 | 2007-03-02 |
| 1649305772 | Zackary Douglas Vaughn | Orthopaedic Surgery | 900 Kiely Blvd, Santa Clara, CA 95051-5329 | 2007-02-22 |
| 1841330040 | Alan T Sung | Pharmacist | 900 Kiely Blvd, Santa Clara, CA 95051-5329 | 2007-02-07 |
| 1528104072 | Andrea Renee Marley | Physical Therapist | 900 Kiely Blvd, Santa Clara, CA 95051 | 2007-01-30 |
| 1215073937 | Gretchen Gwyn Craig | Physical Therapist | 900 Kiely Blvd, Santa Clara, CA 95051-5329 | 2007-01-29 |
| 1780739771 | Margaret Angela Moffitt Goebel | Nurse Anesthetist, Certified Registered | 900 Kiely Blvd, Santa Clara, CA 95051-5329 | 2007-01-23 |
| 1518011410 | Lori Marie Fernandez | Dietitian, Registered | 900 Kiely Blvd, Santa Clara, CA 95051-5329 | 2007-01-22 |
| 1316090913 | Ming-jing Wang | Anesthesiology | 900 Kiely Blvd, Santa Clara, CA 95051-5329 | 2007-01-19 |
| 1114079191 | Kaiser Foundation Hospitals | Pharmacy | 900 Kiely Blvd, Santa Clara, CA 95051-5329 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043773690 | Christian Hamm | Pharmacist | Kaiser Permanente Medical Center Santa Clara, Dept 362 (inpatient Pharmacy), 710 Lawrence Expressway, Santa Clara, CA 95051 | 2019-04-10 |
| 1053879692 | Jiaqi Weng | Acupuncturist | 2062 Walsh Ave Suite B2, San Clare, CA 95051 | 2019-03-02 |
| 1699293209 | Leslie Avalos | Massage Therapist | 3530 Lochnivar Ave, Santa Clara, CA 95051 | 2017-09-04 |
| 1831552843 | Miral Neel Patel | Physical Therapist | 2737 Walsh Avenue, Alliance Occupational Medicine, Santa Clara, CA 95051 | 2016-03-29 |
| 1861831117 | Alison Wong | Emergency Medicine | 700 Lawrence Expy Dept 100, Santa Clara, CA 95051 | 2013-06-20 |
| 1073889291 | Brittany Lee Bianchi | Speech-Language Pathologist | 3775 Flora Vista Ave, Apt. 501, Santa Clara, CA 95051 | 2012-04-02 |
| 1124390067 | Karo Isajan | Chiropractor | 5145 Stevens Creek Blvd Ste 130, Santa Clara, CA 95051 | 2012-02-08 |
| 1598054991 | David Phillip Guo | Urology | 710 Lawrence Expy Dept 448, Santa Clara, CA 95051 | 2011-04-06 |
| 1043528573 | Jennifer Hui Young | Chiropractor | 2342 Walsh Ave, Santa Clara, CA 95051 | 2010-09-17 |
| 1386961217 | Assefa Gebremichael | Pharmacist | 1000 Kiely Blvd, #91, Santa Clara, CA 95051 | 2010-05-03 |
| Find all providers in zip 95051 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366853103 | Momina Waqar | Internal Medicine | 710 Lawrence Expy Dept 360, Santa Clara, CA 95051-5173 | 2014-05-14 |
| 1811278682 | Mariya Pelvitski | Internal Medicine | 710 Lawrence Expy Dept 498, Santa Clara, CA 95051-5173 | 2011-09-07 |
| 1568789048 | Richard Anthony Lau | Internal Medicine | 710 Lawrence Expy Dept 140, Santa Clara, CA 95051 | 2010-04-23 |
| 1356581748 | Kavitha Kambham | Internal Medicine | 2233 Lenox Pl, Santa Clara, CA 95054-1385 | 2009-02-25 |
| 1134374275 | Peter K Lee | Internal Medicine | 710 Lawrence Expy Dept 384, Santa Clara, CA 95051-5173 | 2008-11-17 |
| 1003070012 | Uma Devi Kantamuneni | Internal Medicine | 3655 Pruneridge Ave Apt 224, Santa Clara, CA 95051-5948 | 2008-07-18 |
| 1497928360 | Central Medical Center Inc | Internal Medicine | 2344 El Camino Real Ste 105, Santa Clara, CA 95050-4072 | 2008-04-10 |
| 1255525366 | Elisabeth Anna Calvelli | Internal Medicine | 710 Lawrence Expy Dept 260, Kaiser Permanente, Santa Clara, CA 95051-5173 | 2007-08-31 |
| 1700935632 | Ana Milena Ojeda Brittain | Internal Medicine | 700 Lawrence Expressway, Suite P 3502 Hospital Medicine, Santa Clara, CA 95051 | 2007-01-09 |
| 1881762847 | De H Tran | Internal Medicine | 2518 Mission College Blvd, Santa Clara, CA 95054-1239 | 2006-11-30 |
| Find all providers in SANTA CLARA | ||||
| City | SANTA CLARA |
| Zip Code | 95051 |
Please comment or provide details below to improve the information on DR. JONG CHAN 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.