Chris J Park DPM, Inc

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

E4168 Issued in CA

Legal business name

CHRIS J PARK DPM, INC

Practice address

18895 Colima Rd
Suite a
Rowland Heights, CA 91748-2978

Phone

(626) 913-0948

Fax

(626) 854-1422

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chris J Park, DPMNPI 1144234519

Title

Owner

Phone

(626) 913-0948

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Practitioners 1

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

• Chris J Park, DPM

  • Podiatrist
  • Rowland Heights, CA
  • NPI 1144234519
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1235312935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14839 COUNTRY CREEK CT",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095161",
            "telephone_number": "909-241-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18895 COLIMA RD",
            "address_2": "SUITE A",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482978",
            "telephone_number": "626-913-0948",
            "fax_number": "626-854-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS J PARK DPM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-913-0948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "CA",
            "license": "E4168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E41680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NGN Choo Yin Tan
• Wen Chou, MASSAGE THERAPIST
• Linda Chow, RN
• Benjamin HK Choy, DMD
• Chris I. Lee MD Inc.
• Adrial Regenold Christian
• Christopher Chen, DDS, MSD, Inc.
• Juliet Chu
• Shu Li Chu
• William Chu

• Podiatric Clinic/Center in Rowland Heights, CA
• Providers in Rowland Heights, CA by specialty
• Podiatric Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.