William Byung Ho Park, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A52866C Issued in CA

Practice address

9828 Garden Grove Blvd Ste 201
Garden Grove, CA 92844-1659

Phone

(714) 530-9633

Fax

(714) 530-4410

NPI assigned

Jul 28, 2006

Last updated

Aug 13, 2008By the provider in NPPES

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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arash Esmailzadegan MD IncGroup PAC ID 5799073714, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Divine Home Health, Inc Home health agency, La Mirada, CA, CCN 058330
• Ace Home Health, Inc. Home health agency, Los Angeles, CA, CCN 058082

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arash Esmailzadegan MD Inc

  • Anesthesiology Physician
  • Huntington Beach, CA
  • NPI 1720536097
  Medicare reassignment Care Compare group NPD
• William Park, M.D., Inc

  • Pain Medicine (Anesthesiology) Physician
  • Garden Grove, CA
  • NPI 1851530687
  Medicare reassignment NPD Authorized official
• Allied Anesthesia Medical Group Inc

  • Anesthesiology Physician
  • Orange, CA
  • NPI 1346267267
  Medicare reassignment NPD
• William Park, M.D., Inc

  • Anesthesiology Physician
  • Downey, CA
  • NPI 1861663338
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ace Home Health, Inc.

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1205808326
  Care Compare affiliation
• Divine Home Health, Inc.

  • Home Health Agency
  • La Mirada, CA
  • NPI 1831107093
  Care Compare affiliation

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1821002288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9828 GARDEN GROVE BLVD STE 201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441659",
            "telephone_number": "714-530-9633",
            "fax_number": "714-530-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9828 GARDEN GROVE BLVD STE 201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441659",
            "telephone_number": "714-530-9633",
            "fax_number": "714-530-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "WILLIAM",
        "middle_name": "BYUNG HO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A52866C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A528661",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A528661",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen S Park, MD
• Steven Park
• Sue Park, LAC
• Tracy Tom Park, O.D.
• We Sun Park
• Yong Jun David Park, DDS MD
• Brooke Parker
• Sunshine Parker, M.A., SLP
• Catherine Parkins
• Cassandra Marie Parkman

• Anesthesiology Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.