James Chae Park, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-30148 Issued in CA

Practice address

425 Divisadero St
Suite 205
San Francisco, CA 94117-2242

Phone

(415) 788-0299

NPI assigned

Jul 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Chae Hun Park Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1700076106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 DIVISADERO ST",
            "address_2": "SUITE 205",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172242",
            "telephone_number": "415-788-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 DIVISADERO ST",
            "address_2": "SUITE 205",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172242",
            "telephone_number": "415-788-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JAMES",
        "middle_name": "CHAE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-30148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAE",
            "last_name": "PARK",
            "middle_name": "HUN",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Henry Yong Park
• Honglip Park
• Ingrid Park, LAC., DIPL. OM.
• Ingrid H Park, DDS
• James Park, MD
• Jamie Park
• Jane Park, M.D.
• John W Park, MD
• Joorok Park, D.M.D., M.S.D
• Joyce Eunwoo Park, RN

• Chiropractor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.