Jane Lee Park, M.D.

Primary specialty

Pediatric Rheumatology PhysicianTaxonomy code 2080P0216X

License

A91824 Issued in CA

Practice address

300 Pasteur Drive
Boswell Building, Room A085
Stanford, CA 94305-5208

Phone

(650) 723-8295

NPI assigned

Feb 13, 2007

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

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427190396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18721 NEWSOM AVE",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DRIVE",
            "address_2": "BOSWELL BUILDING, ROOM A085",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055208",
            "telephone_number": "650-723-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JANE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "CA",
            "license": "A91824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Kyunglim Park
• Annsea Park, MD, PHD
• Benjamin Park, MD, PHD
• Chul-Kyun Park, M.D.
• David Jaehyun Park, MD, PHD
• Janet Christine Park
• Jennifer Moonjung Park, PHD
• Jiweon Nina Park, CRNA
• Jongsoo Park, MD
• Julia Elizabeth Park, PA-C

• Pediatric Rheumatology Physician in Stanford, CA
• Providers in Stanford, CA by specialty
• Pediatric Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.