ANNIE PARK (NPI# 1912384025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912384025 |
| Entity Type | Individual |
| Full Name | ANNIE PARK |
| Credential | M.D |
| Practice Address |
11175 Campus Street, Csp 11015 Loma Linda CA 92354 |
| Practice Telephone | 9095584910 |
| Mailing Telephone | 9095584910 |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2019-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A144866 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811232739 | Annie Park | Occupational Therapist | 2552 Kelvin Ave, Unit 302, Irvine, CA 92614-5851 | 2012-12-04 |
| 1033767579 | Annie Youngeun Park | Dentist | 5877 S Vermont Ave, Los Angeles, CA 90044-3741 | 2019-08-28 |
| 1255884557 | Annie Park | Internal Medicine | 1500 E Medical Center Dr, Tc 3116, Ann Arbor, MI 48109-5368 | 2016-08-03 |
| 1194165944 | Annie Park | Internal Medicine | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2013-06-26 |
| 1588917876 | Annie Park | Pharmacist | 1607 Shattuck Ave, Berkeley, CA 94709-1611 | 2012-10-24 |
| Street Address |
11175 CAMPUS STREET, CSP 11015 |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| 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 |
|---|---|---|---|---|
| 1912358664 | Samuel Houston Limbong | Internal Medicine | 11201 Benton St Hospitalist Section, Loma Linda, CA 92357-2804 | 2016-06-23 |
| 1083069611 | Navya M Reddy | Internal Medicine | 11234 Anderson St Bldg Suitec, Loma Linda, CA 92354-2804 | 2016-05-02 |
| 1194170290 | Nikhil Ghatnekar | Internal Medicine | 11234 Anderson St # Mc1503, Loma Linda, CA 92354-2804 | 2016-04-27 |
| 1275911844 | Rosemarie Florian | Internal Medicine | 11234 Anderson St Rm 1503, Loma Linda, CA 92350 | 2015-05-14 |
| 1285021113 | Steven Randolph Shadix | Internal Medicine | 11186 San Mateo Dr Apt B, Loma Linda, CA 92354-3224 | 2015-04-17 |
| 1295132298 | Tahseen Shareef Md, Inc | Internal Medicine | 11374 Mountain View Ave Ste A1, Loma Linda, CA 92354-3830 | 2014-11-20 |
| 1538574736 | Samira Rahmanian | Internal Medicine | 11234 Anderson St # Mc1590, Loma Linda, CA 92354-2804 | 2014-06-25 |
| 1861805939 | Hieu Duc Do | Internal Medicine | 11234 Anderson St # Mc1516, Loma Linda, CA 92354 | 2014-06-06 |
| 1336568971 | Yas Casey | Internal Medicine | 11201 Benton St # 2e37a, Loma Linda, CA 92357-2153 | 2014-04-10 |
| 1679908800 | Unknown Abdul Hameed Zaid | Internal Medicine | 11234 Anderson St # Mc1503a, Loma Linda, CA 92354-2804 | 2013-09-06 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
Please comment or provide details below to improve the information on ANNIE 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.