Individual provider Active NPI

Esther Park, D.O.

  • Child & Adolescent Psychiatry Physician
  • Laguna Hills, CA
National Provider Identifier
1356420301
Registry record updated May 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
2 OA 7734 Issued in CA
Practice address
23141 Moulton Pkwy
Suite 213
Laguna Hills, CA 92653-1251
Phone
(949) 258-3741
Fax
(949) 258-3742
NPI assigned
Nov 2, 2006
Last updated
May 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 2 OA 7734 CA Primary

Addresses

Primary practice location

23141 Moulton Pkwy
Suite 213
Laguna Hills, CA 92653-1251

Mailing address

23141 Moulton Pkwy
Suite 213
Laguna Hills, CA 92653-1251
Phone (949) 258-3741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2 OA 7734CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sensible Care, a Medical Corporation Child & Adolescent Psychiatry Current Accepting new patients
Keeban Nam, M.D., Inc. PastSince Jan 22, 2023 Accepting new patients
Oak Health Center, a Medical Corporation Child & Adolescent Psychiatry Past Accepting new patients

Organizations & group practices 3

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433030400000",
    "number": "1356420301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23141 MOULTON PKWY",
            "address_2": "SUITE 213",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531251",
            "telephone_number": "949-258-3741",
            "fax_number": "949-258-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23141 MOULTON PKWY",
            "address_2": "SUITE 213",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531251",
            "telephone_number": "949-258-3741",
            "fax_number": "949-258-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ESTHER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2015-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "2 OA 7734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2015; 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.