Uriel Park

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1401 Parkmoor Ave
San Jose, CA 95126-3403

Phone

(408) 885-0805

NPI assigned

Nov 7, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1043788110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 INTERLAKEN TER",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940891221",
            "telephone_number": "650-889-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PARKMOOR AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263403",
            "telephone_number": "408-885-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "URIEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XDJ91787204E",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Park, PHARMACIST
• Rodney Kim Park, D.D.S.
• So Young Park, D.D.S.
• Sun Ja Park, D.C
• Tom S. Park, D.D.S.
• Yun Sang Park, O.D.
• Adam Carrier Parker, DPT
• Dorothy Carr Parker, RD
• Gary Bernard Parker, OD
• Jasmine Parker

• Behavior Analyst in San Jose, CA
• Providers in San Jose, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.