Active NPI
Jun Kyu Park, M.D., Inc.
- Anesthesiology Physician
- Thousand Oaks, CA
National Provider Identifier
1407294556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A98074
- Legal business name
- JUN KYU PARK, M.D., INC.
- Practice address
- 215 W Janss Rd
Thousand Oaks, CA 91360-1847 - Phone
- (805) 578-8300
- NPI assigned
- Jun 11, 2013
- Last updated
- Jun 11, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jun K. Park, M.D.
- Title
- President
- Phone
- (805) 578-8300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A98074 | CA | Primary |
Addresses
Primary practice location
215 W Janss Rd
Thousand Oaks, CA 91360-1847
Mailing address
PO Box 10076
Van Nuys, CA 91410-0076
Phone (805) 578-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- West Hills, CA
- NPI 1952540908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370908800000",
"number": "1407294556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10076",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914100076",
"telephone_number": "805-578-8300",
"fax_number": "805-578-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W JANSS RD",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913601847",
"telephone_number": "805-578-8300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUN KYU PARK, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-11",
"last_updated": "2013-06-11",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "JUN",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-578-8300",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A98074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thousand Oaks, CA
- Niyati Sanjay Joshi, MD
- Joshua Tree Healthcare, Inc. (Buena Vista Palliative Care and Home Health)
- Journey Lite of the Central Coast, LLC (Conejo Surgical Center)
- Jennifer Julian, LMFT
- Julie Stark, DO, Inc.
- Jessica Jung, RD, MS
- Sammy Jung, PHARM.D.
- Juris Priedkalns, M.D., Inc.
- Just Beautiful Aesthetics
- Melanie Rompella Justice, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.