Dai Park (NPI# 1376744896, PAC ID# 2163563875) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1376744896 |
| PAC ID by PECOS | 2163563875 |
| Professional Enrollment ID | I20120820000301 |
| Full Name | Dai Park |
| Organization Legal Name | BAZ ALLERGY ASTHMA AND SINUS CENTER INC |
| Address |
1923 Coffee Rd Suite 12c Modesto CA 95355-2708 |
| Phone Number | 2094098454 |
| Gender | F |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 2006 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 6507770716 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1923 Coffee Rd, Suite 12c, Modesto, CA 95355-2708 | 2094098454 | BAZ ALLERGY ASTHMA AND SINUS CENTER INC |
| 1853 Lander Ave, Turlock, CA 95380-6240 | 2096561617 | BAZ ALLERGY ASTHMA AND SINUS CENTER INC |
| Organization Legal Name | BAZ ALLERGY ASTHMA AND SINUS CENTER INC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nisha Ann Roy | Nurse Practitioner | Baz Allergy Asthma and Sinus Center Inc | 7471 N Fresno St, Fresno, CA 93720-2457 |
| Jennifer Trost | Physician Assistant | Baz Allergy Asthma and Sinus Center Inc | 3000 Floral Ave, Selma, CA 93662-9414 |
| Somchit Saysamone Reyna | Nurse Practitioner | Baz Allergy Asthma and Sinus Center Inc | 1923 Coffee Rd, Suite 12c, Modesto, CA 95355-2708 |
| Phalla Pov-brantle | Nurse Practitioner | Baz Allergy Asthma and Sinus Center Inc | 2311 W Cleveland Ave, Suite 101, Madera, CA 93637-8766 |
| Karalyn R Champion | Nurse Practitioner | Baz Allergy Asthma and Sinus Center Inc | 5410 W Cypress Ave, Suite 102, Visalia, CA 93277-8343 |
| Lori R Kirk | Nurse Practitioner | Baz Allergy Asthma and Sinus Center Inc | 1415 Badger Flat Rd, Suite A, Los Banos, CA 93635-8601 |
| Angelica Malinit Peralejo | Physician Assistant | Baz Allergy Asthma and Sinus Center Inc | 2021 Herndon Ave, Suite 102, Clovis, CA 93611-6101 |
| Rocio P Naranjo | Physician Assistant | Baz Allergy Asthma and Sinus Center Inc | 1560 W Lacey Blvd, Suite 103, Hanford, CA 93230-3582 |
| James L Minton | Family Practice | Baz Allergy Asthma and Sinus Center Inc | 505 N Clovis Ave, Fresno, CA 93727-2617 |
| Ralph Paul Diaz | Allergy/immunology | Baz Allergy Asthma and Sinus Center Inc | 563 I St, Reedley, CA 93654-2431 |
| Street Address |
1923 COFFEE RD SUITE 12C |
| City | MODESTO |
| State | CA |
| Zip | 95355-2708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Somchit Saysamone Reyna | Nurse Practitioner | Baz Allergy Asthma and Sinus Center Inc | 1923 Coffee Rd, Suite 12c, Modesto, CA 95355-2708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naihsien D Chen | Internal Medicine | 1303 Mable Ave, Modesto, CA 95355-1119 | |
| Greg A Vigna | Physical Medicine and Rehabilitation | Greg Vigna Md Clcp | 1303 Mable Ave, Modesto, CA 95355-1119 |
| David D Nisley | Physician Assistant | Greg Vigna Md Clcp | 1303 Mable Ave, Modesto, CA 95355-1119 |
| Patrick N Rhoades | Physical Medicine and Rehabilitation | 1300 Mable Ave, Suite 2, Modesto, CA 95355-1120 | |
| Sandhya Ravichandran | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 1300 Mable Ave, Suite 1, Modesto, CA 95355-1120 |
| L Edward Elliott | Optometry | L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr | 3601 Coffee Rd, Modesto, CA 95355-1161 |
| Mutahir U Khan | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Rajesh Kumar Dubey | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Kent Hon-wah Wong | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Joydev Acharya | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Find all physicians in zip 95355 | |||
| City | MODESTO |
| Zip Code | 95355 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | MODESTO + ALLERGY/IMMUNOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.