James M. Park, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A79414 Issued in CA

Practice address

1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872

Phone

(760) 323-6511

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Anesthesiology

Education

Wayne State University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coachella Valley Anesthesia a Professional CorporationGroup PAC ID 5698131969, 126 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• John F Kennedy Memorial Hospital Hospital, Indio, CA, CCN 050534
• Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Coachella Valley Anesthesia a Professional Corporation

  • Anesthesiology Physician
  • Bakersfield, CA
  • NPI 1013662048
  Medicare reassignment Care Compare group NPD
• Palm Springs Anesthesia Services, PC

  • Anesthesiology Physician
  • San Bernardino, CA
  • NPI 1083928501
  Medicare reassignment NPD
• Desert Anestheisa Medical Group

  • Specialist
  • Palm Springs, CA
  • NPI 1861448938
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Desert Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Palm Springs, CA
  • NPI 1104856095
  Care Compare affiliation
• JFK Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Indio, CA
  • NPI 1477584993
  Care Compare affiliation

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1396824090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N INDIAN CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624872",
            "telephone_number": "760-323-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N INDIAN CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624872",
            "telephone_number": "760-323-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JAMES",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A79414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A794140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Sproul Paparian, DO
• Bret Hart Papas, PT
• Brandon Kevin Pardosi, PA-C
• Jane Di Angelo Pardy
• Heesung Kevin Park, MD
• Matthew Allen Parke, PMHNP
• Daniel Richard Parker, PH.D.
• Jennifer Parks, CMT
• Abigail Parmelee
• Jaime Parris

• Anesthesiology Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.

Verify at the official NPI Registry.