Michael K Park (NPI# 1932289030, PAC ID# 7517950439) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1932289030 |
| PAC ID by PECOS | 7517950439 |
| Professional Enrollment ID | I20040406001511 |
| Full Name | Michael K Park |
| Organization Legal Name | BAY AREA COMPREHENSIVE SPINE AND SPORTS MEDICAL GROUP INC |
| Address |
5700 Telegraph Ave Suite 100 Oakland CA 94609-1710 |
| Phone Number | 5104634700 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 6709871411 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050305 | ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP |
| Address | Phone | Organization |
|---|---|---|
| 5700 Telegraph Ave, Suite 100, Oakland, CA 94609-1710 | 5104634700 | BAY AREA COMPREHENSIVE SPINE AND SPORTS MEDICAL GROUP INC |
| Organization Legal Name | BAY AREA COMPREHENSIVE SPINE AND SPORTS MEDICAL GROUP INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marina V Bulatov | Physical Medicine and Rehabilitation | Bay Area Comprehensive Spine and Sports Medical Group Inc | 5700 Telegraph Ave, Suite 100, Oakland, CA 94609-1710 |
| Street Address |
5700 TELEGRAPH AVE SUITE 100 |
| City | OAKLAND |
| State | CA |
| Zip | 94609-1710 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darren W Guillaume | Physician Assistant | Rakesh Donthineni Md Incorporated | 5700 Telegraph Ave, Suite 100, Oakland, CA 94609-1710 |
| Catherine Buchanan | Family Medicine | Bay Area Sports Orthopaedics, Inc | 5700 Telegraph Ave, Suite 100, Oakland, CA 94609-1710 |
| Jaison James | Orthopedic Surgery | 5700 Telegraph Ave, Suite 100, Oakland, CA 94609-1710 | |
| David S Chang | Orthopedic Surgery | Bay Area Sports Orthopaedics, Inc | 5700 Telegraph Ave, Suite 100, Oakland, CA 94609-1710 |
| Rakesh Donthineni | Orthopedic Surgery | Rakesh Donthineni Md Incorporated | 5700 Telegraph Ave, Suite 100, Oakland, CA 94609-1710 |
| Marina V Bulatov | Physical Medicine and Rehabilitation | Bay Area Comprehensive Spine and Sports Medical Group Inc | 5700 Telegraph Ave, Suite 100, Oakland, CA 94609-1710 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Virginia A Frederick | Chiropractic | 6434 Telegraph Ave, Oakland, CA 94609-1112 | |
| Douglas B Ross | Chiropractic | 6434 Telegraph Ave, Oakland, CA 94609-1112 | |
| Andrea L Long | Physical Therapy | Sports and Orthopedic Specialists | 6300 Telegraph Ave, Oakland, CA 94609-1329 |
| Richard W Burg | Chiropractic | 6330 Telegraph Ave, Oakland, CA 94609-1329 | |
| Lisa Gibson | Physical Therapy | Sports and Orthopedic Specialists | 6300 Telegraph Ave, Oakland, CA 94609-1329 |
| Dawn J Loretz | Physical Therapy | Sports and Orthopedic Specialists | 6300 Telegraph Ave, Oakland, CA 94609-1329 |
| Kathryn Rittenberg | Physical Therapy | Sports and Orthopedic Specialists | 6300 Telegraph Ave, Oakland, CA 94609-1329 |
| Nancy Kathleen Bryan | Physical Therapy | Sports and Orthopedic Specialists | 6300 Telegraph Ave, Oakland, CA 94609-1329 |
| Chelsea S Landolin | Nurse Practitioner | Bonita House, Inc. | 6333 Telegraph Ave, Suite 102, Oakland, CA 94609-1359 |
| Manton S Hurd | Nurse Practitioner | Bonita House, Inc. | 6333 Telegraph Ave, Suite 102, Oakland, CA 94609-1359 |
| Find all physicians in zip 94609 | |||
| City | OAKLAND |
| Zip Code | 94609 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | OAKLAND + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Michael K Park.
| 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.