Sujin Park, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95021950 Issued in CA

Practice address

2 Koret Way
San Francisco, CA 94143-2218

Phone

(415) 471-1435

NPI assigned

Jul 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1376278358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KORET WAY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KORET WAY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432218",
            "telephone_number": "415-471-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SUJIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95021950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Park, DDS
• Sohyun Park, DDS, MDS
• Soo Hwan Park
• Soo Jin Park, DDS
• Sora Park
• Alice Rachel Parker, RN, MS, CPNP-AC
• Alisha Marie Parker, RDN
• Amanda Parker, PNP
• Anne Elizabeth Parker, NNP
• Bernadette Lousie Parker

• Adult Health Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.