Organization Active NPI

Alane Park MD a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1801227913
Registry record updated Nov 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ALANE PARK MD A MEDICAL CORPORATION
Practice address
1245 Wilshire Blvd
Suite 605
Los Angeles, CA 90017-4810
Phone
(213) 294-2160
Fax
(213) 294-2165
NPI assigned
Nov 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2013

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

Authorized official

Name
Dr. Alane Park, M.D.NPI 1992806038
Title
President
Phone
(213) 294-2160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1245 Wilshire Blvd
Suite 605
Los Angeles, CA 90017-4810

Mailing address

12930 Ventura Blvd
#643
Studio City, CA 91604-2200
Phone (213) 294-2160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140527000745 CA Part B Supplier - Clinic/Group Practice 5294958930 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

1245 Wilshire Blvd
Ste 605
Los Angeles, CA 90017
Phone (213) 294-2160

3950 Laurel Canyon Blvd
Unit 1660
Studio City, CA 91614

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1385683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385683200000",
    "number": "1801227913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 VENTURA BLVD",
            "address_2": "#643",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042200",
            "telephone_number": "213-294-2160",
            "fax_number": "213-294-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "SUITE 605",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810",
            "telephone_number": "213-294-2160",
            "fax_number": "213-294-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALANE PARK MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-29",
        "last_updated": "2013-11-29",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "ALANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-294-2160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.