Elbert Park

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

841 Fulton St
San Francisco, CA 94117-1709

Phone

(415) 939-3341

NPI assigned

Aug 14, 2009

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

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": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250208000000",
    "number": "1740412345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 FULTON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171709",
            "telephone_number": "415-939-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 FULTON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171709",
            "telephone_number": "415-939-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ELBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-14",
        "last_updated": "2009-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine C. Park, M.D.
• Darci Rae Park, DPM
• David Park, M.D., PH.D.
• David J Park, DMD
• Deborah Park, MD
• Ellen Chang Park, NP
• Ellenne J Park, PT, DPT, CSRS
• Eun Sun Park, NP
• Eun-Ha Park, MD
• Gaeun Park

• Mental Health Counselor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.