Sangmi Park, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

64140 Issued in CA

Practice address

141 Golf Club Rd
Apt 5F
Pleasant Hill, CA 94523-1549

Phone

(213) 394-6147

NPI assigned

Oct 29, 2014

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

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1669877916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 GOLF CLUB RD",
            "address_2": "APT 5F",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 GOLF CLUB RD",
            "address_2": "APT 5F",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231549",
            "telephone_number": "213-394-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SANGMI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jin W Pak, D.C.
• Jonathan Palarca
• Palliative Care of the East Bay
• Hope Isabella Brown Pangilinan, MS, PPS
• Leslie Ann Patka Pappin, LMFT
• John Joel Sogue Parrocha
• Rebecca Eloise Partridge, PHD
• Linda Sue Passey, LCSW(LICENSED CLINIC
• Aisha Shani Patterson
• Megan Elizabeth Pattie, LCSW #73922

• General Practice Dentistry in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.