Joseph Park, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

10287 Issued in CA

Practice address

134 Howard St
Petaluma, CA 94952-2922

Phone

(707) 477-1597

NPI assigned

Nov 10, 2006

Last updated

Aug 22, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1194896373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 HOWARD ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522922",
            "telephone_number": "707-477-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 HOWARD ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522922",
            "telephone_number": "707-477-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JOSEPH",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "10287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rocio Pantoja-Alvarado
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• Park Plaza Dental
• Erneshia Parker, BA PSYCHOLOGY
• Judith Kay Parker, DC
• Kathleen Parker
• Peggy Anne Parnell, MFT INTERN
• Mia Nicole Parodi, N/A

• Acupuncturist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.