DIANA PARK (NPI# 1942734124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942734124 |
| Entity Type | Individual |
| Full Name | DIANA PARK |
| Practice Address |
268 Reservation Rd Marina CA 93933-3178 |
| Mailing Address |
16931 Del Monte Ave Apt 265 Morgan Hill CA 95037-4972 |
| Practice Telephone | 8313841605 |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 75837 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949832 | Diana Park | Registered Nurse | 140 Commonwealth Ave Fl Hall2, Chestnut Hill, MA 02467-3858 | 2020-07-09 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1447638036 | Diana Changbin Park | Marriage & Family Therapist | 2000 W Hedding St # 20d, San Jose, CA 95128-1475 | 2015-05-14 |
| 1518377969 | Diana Park | Dentist | 877 Eastwind Dr, Westerville, OH 43081-3309 | 2014-05-06 |
| 1629328281 | Diana Park | Pharmacist | 4220 Missouri Flat Rd, Placerville, CA 95667-6269 | 2012-09-11 |
| Street Address |
268 RESERVATION RD |
| City | MARINA |
| State | CA |
| Zip Code | 93933-3178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477597201 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 268 Reservation Rd, Marina, CA 93933-3178 | 2006-06-15 |
| 1699309872 | Jennifer Nguyen | Pharmacist | 268 Reservation Rd, Marina, CA 93933-3178 | 2020-02-26 |
| 1598328148 | Kevin Chiahung White | Pharmacist | 268 Reservation Rd, Marina, CA 93933-3178 | 2019-04-18 |
| 1740746569 | Mina Megallaa | Pharmacist | 268 Reservation Rd, Marina, CA 93933-3178 | 2019-02-17 |
| 1588199756 | Emad Ibrahim | Pharmacist | 268 Reservation Rd, Marina, CA 93933-3178 | 2017-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803012 | Caterina Poehner | Social Worker | 617 Bayonet Cirle, Marina, CA 93933 | 2020-08-28 |
| 1972036499 | Stephanie Blalock | Counselor | 617 Bayonet Circle, Marina, CA 93933 | 2017-04-11 |
| 1588110340 | Monique Theaker | Counselor | 299b Twelfth Street, Marina, CA 93933 | 2016-08-31 |
| 1053709220 | Mehry Khazan | Marriage & Family Therapist | 299 Twelfth Street, Marina, CA 93933 | 2014-12-22 |
| 1306241476 | Tiffany Avery | Counselor | 299 12th St Ste B, Marina, CA 93933 | 2014-10-30 |
| 1881037141 | Marilyn Anderson | Counselor | 3043 Macarthur Dr, Marina, CA 93933 | 2013-04-16 |
| 1669744280 | Leslie Penley | Dentist | 3154 Deforest Rd. Suitea, Marina, CA 93933 | 2012-01-27 |
| 1215221510 | Janet Hernandez Barajas | Social Worker | 299a 12th Street, Marina, CA 93933 | 2011-06-03 |
| 1538302740 | Sonia Cortes | Counselor | 613 Bayonet Cir., Marina, CA 93933 | 2009-04-17 |
| 1144476003 | Carolina Cortez | Counselor | 2982 Bayonet Ct, Marina, CA 93933 | 2008-08-12 |
| Find all providers in zip 93933 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609162569 | Richard Andrew Wulf | Pharmacist | 133 General Stilwell Dr, T-2306, Marina, CA 93933-6242 | 2011-06-20 |
| 1710272299 | Robin Linda Arnold | Pharmacist | 455 Reservation Rd Ste G, Marina, CA 93933-3328 | 2011-06-13 |
| 1699309872 | Jennifer Nguyen | Pharmacist | 268 Reservation Rd, Marina, CA 93933-3178 | 2020-02-26 |
| 1598328148 | Kevin Chiahung White | Pharmacist | 268 Reservation Rd, Marina, CA 93933-3178 | 2019-04-18 |
| 1538626668 | Tinh Nguyen | Pharmacist | 226 Reservation Rd, Marina, CA 93933-3083 | 2019-02-25 |
| 1740746569 | Mina Megallaa | Pharmacist | 268 Reservation Rd, Marina, CA 93933-3178 | 2019-02-17 |
| 1649750407 | Tram Anh Dang | Pharmacist | 226 Reservation Rd, Marina, CA 93933-3083 | 2018-08-20 |
| 1720500135 | Nicolette Vicente Santos | Pharmacist | 150 Beach Rd, Marina, CA 93933-2513 | 2017-07-07 |
| 1568999522 | Catherine Ayran | Pharmacist | 133 General Stilwell Dr, Marina, CA 93933-6242 | 2017-05-20 |
| 1588199756 | Emad Ibrahim | Pharmacist | 268 Reservation Rd, Marina, CA 93933-3178 | 2017-04-26 |
| Find all providers in MARINA | ||||
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| 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.