Park Merritt Dialysis

Primary specialty

Hemodialysis Registered NurseTaxonomy code 163WH0500X

Legal business name

PARK MERRITT DIALYSIS

Practice address

525 E 18TH St
Oakland, CA 94606-2413

Phone

(510) 914-3916

NPI assigned

Jul 3, 2023

Organization subpart

No

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

Authorized official

Name

Shirley S Ma

Title

Ceo

Phone

(510) 914-3916

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1801573639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E 18TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 18TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062413",
            "telephone_number": "510-914-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK MERRITT DIALYSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-914-3916"
    },
    "taxonomies": [
        {
            "code": "163WH0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Hemodialysis",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nuvleen K Parhar
• Nooshin Parhizkar, M.D.
• Hannah Grace Parish
• Russell J. Parish
• Jenna Lee Parisi
• Andrew Park
• Cheryl Lin Park, M.D.
• Daniel C Park, M.D.
• Emily Hyo Jin Park, MD
• Janice Flora Park, PHARM.D.

• Registered Nurse in Oakland, CA
• Providers in Oakland, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.