Active NPI
Kay Loren Park, M.D.
- Ophthalmology Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G81539
- 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, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
222 W Eulalia St
Suite 110
Glendale, CA 91204-2850
Phone (818) 551-7127
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathleen J Dennis-Zarate MD a Medical Corp | Ophthalmology | Current | Accepting new patients |
| Dignity Health | Past | Accepting new patients | |
| Glendale Adventist Medical Center | Ophthalmology | Past | Accepting new patients |
| Kathleen Dennis-Zarate MD | Ophthalmology | Past | 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.
-
dba Kathleen J Dennis-Zarate MD INC
- Ophthalmology Physician
- Glendale, CA
- NPI 1811076342
-
dba Adventist Health Glendale
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
Ophthalmology
-
dba The Spectacle Shoppe
- Ophthalmology Physician
- Montrose, CA
- NPI 1689730012
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.