Individual provider Active NPI

Kay Loren Park, M.D.

  • Ophthalmology Physician
  • Glendale, CA
National Provider Identifier
1306814371
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G81539 Issued in CA
Practice address
222 W Eulalia St
Ste 110
Glendale, CA 91204-2849
Phone
(818) 551-7127
Fax
(818) 551-7131
NPI assigned
Mar 8, 2006
Last updated
Apr 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G81539 CA Primary

Addresses

Primary practice location

222 W Eulalia St
Ste 110
Glendale, CA 91204-2849

Mailing address

222 W Eulalia St
Ste 110
Glendale, CA 91204-2849
Phone (818) 551-7127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120203000613 CA Practitioner - Ophthalmology 4486811379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Columbia University College of Physicians and Surgeons, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kathleen J Dennis-Zarate MD a Medical CorpGroup PAC ID 7517933187, 2 clinicians

Practice addresses (Care Compare)

222 W Eulalia St
Suite 110
Glendale, CA 91204-2850
Phone (818) 551-7127

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen J Dennis-Zarate MD a Medical Corp Ophthalmology CurrentSince Feb 3, 2003 Accepting new patients
Dignity Health Past Accepting new patients
Glendale Adventist Medical Center Ophthalmology Past Accepting new patients
Kathleen Dennis-Zarate MD Ophthalmology PastSince Feb 3, 2003 Accepting new patients

Locations

222 W Eulalia St
Ste 110
Glendale, CA 91204
Phone (818) 551-7127

2330 Honolulu Ave
Montrose, CA 91020
Phone (818) 249-6447

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1306814371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W EULALIA ST",
            "address_2": "STE 110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042849",
            "telephone_number": "818-551-7127",
            "fax_number": "818-551-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W EULALIA ST",
            "address_2": "STE 110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042849",
            "telephone_number": "818-551-7127",
            "fax_number": "818-551-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "KAY",
        "middle_name": "LOREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G81539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.