James Mo Park MD Apc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A79414 Issued in CA

Legal business name

JAMES MO PARK MD APC

Practice address

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

Phone

(562) 407-2080

Fax

(562) 407-2082

NPI assigned

Jan 15, 2016

Last updated

Jan 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Park, MDNPI 1396824090

Title

President

Phone

(562) 407-2080

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• James M. Park, MD

  • Anesthesiology Physician
  • Palm Springs, CA
  • NPI 1396824090
  Authorized official Same address or phone

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1437516846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14120 ALONDRA BLVD",
            "address_2": "SUITE C",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906705820",
            "telephone_number": "562-407-2080",
            "fax_number": "562-407-2082"
        },
        {
            "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": "562-407-2080",
            "fax_number": "562-407-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES MO PARK MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-407-2080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A79414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A79414",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessie Raynae Jackson, RADT-I
• Judy M Jackson, M.D.
• Marlene Esther Jackson, NP
• Scott Jacobsen
• Jaime Alberto Jaime
• James W Shaner M D a Medical Corporation
• Jami Woods DPH MD PC
• Peter Merrill Jamieson, M.D.
• Patricia Anne Janesh, PHD
• Janet Ihde MD Inc

• 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 Jan 15, 2016; 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.