Vernon G. Park, M.D.,Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G32541 Issued in CA

Legal business name

VERNON G. PARK, M.D.,INC.

Practice address

2200 Colorado Ave
Turlock, CA 95382-2004

Phone

(209) 667-1606

Fax

(209) 667-4685

NPI assigned

Dec 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Vernon G. Park, M.D.

Title

President

Phone

(209) 667-1606

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1355616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355616000000",
    "number": "1366788598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822004",
            "telephone_number": "209-667-1606",
            "fax_number": "209-667-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822004",
            "telephone_number": "209-667-1606",
            "fax_number": "209-667-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON G. PARK, M.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-16",
        "last_updated": "2012-12-16",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-667-1606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G32541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnulfo Velasquez, NP
• Cesar Pablo Velasquez, LCSW
• Sadith Mariscal Velasquez, LCSW
• Ednelle B Ventura, RN
• Vepema Medical Group
• Lawrence L Vierra, RPH
• Richard Anthony Vieville Jr.
• Gricelda Vieyra
• Vijaya Thakur MD Inc
• Christina Villa

• Primary Care Clinic/Center in Turlock, CA
• Providers in Turlock, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2012; 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.