Peter Park MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A54976 Issued in CA

Legal business name

PETER PARK MD INC

Practice address

2600 W Pico Blvd
Suite 105
Los Angeles, CA 90006-3902

Phone

(213) 388-2772

Fax

(213) 388-2112

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Peter Takayuki Arai, M.D.NPI 1770678716

Title

Owner/Medical Director

Phone

(213) 388-2772

Specialties & licenses 1

Addresses

Other names 1

• New Sunrise Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Takayuki Arai, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1770678716
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1154465631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900270206",
            "telephone_number": "213-385-0675",
            "fax_number": "213-365-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W PICO BLVD",
            "address_2": "SUITE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900063902",
            "telephone_number": "213-388-2772",
            "fax_number": "213-388-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER PARK MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "ARAI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "TAKAYUKI",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "213-388-2772",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A54976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Sunrise Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter H. Sim, M.D., Inc.
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• Peter J. Chung, M.D. Inc.
• Peter J. Ruane, M.D. Inc.
• Peter Lorber, M.D., a Medical Corporation
• Peter R..Wolfe M.D. Professional Corporation
• Peter Robinson M.D. Inc.
• Beena Peter
• Joshua Lawrence Peter
• Shanon Thomas Peter, M.D.

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.