James Myeng Park

Primary specialty

PharmacistTaxonomy code 183500000X

License

84614 Issued in CA

Practice address

18211 Avolinda Dr
Yorba Linda, CA 92886-2401

Phone

(747) 203-2468

NPI assigned

Feb 4, 2022

Last updated

Feb 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1811641293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18211 AVOLINDA DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18211 AVOLINDA DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862401",
            "telephone_number": "747-203-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JAMES",
        "middle_name": "MYENG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "69060",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "84614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dariya Pak, FNP
• Erika Pallares
• Billie K Park, D.O.
• Esther Park, MA, BS
• Ga Yun Park
• Jane Park, DDS
• Vijayasree Paruchuri, MD
• Pary Iniguez Dental Corporation (Masterpiece Dental)
• Mario Pary, DMD
• Kory B. Dylan Pasko, MD

• Pharmacist in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2022; 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.