Organization Active NPI

Gil S Park, MD, Inc

  • Anesthesiology Physician
  • Bakersfield, CA
National Provider Identifier
1619147899
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
AA31383 Issued in CA
Legal business name
GIL S PARK, MD, INC
Practice address
6000 Physicians Blvd
Bakersfield, CA 93301-5840
Phone
(661) 322-4744
Fax
(661) 322-2938
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Dr. Gil S Park, M.D.
Title
President
Phone
(661) 324-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X AA31383 CA Primary

Addresses

Primary practice location

6000 Physicians Blvd
Bakersfield, CA 93301-5840

Mailing address

3200 21St St
Suite 301
Bakersfield, CA 93301-3144
Phone (661) 324-0300

Other identifiers 1

IdentifierTypeStateIssuer
00A313830MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1619147899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 21ST ST",
            "address_2": "SUITE 301",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013144",
            "telephone_number": "661-324-0300",
            "fax_number": "661-324-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 PHYSICIANS BLVD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015840",
            "telephone_number": "661-322-4744",
            "fax_number": "661-322-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIL S PARK, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "GIL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-324-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "AA31383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A313830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.