Ina Una Park, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A80262 Issued in CA

Practice address

850 Marina Bay Pkwy
Building P, 2ND Floor
Richmond, CA 94804-6403

Phone

(510) 926-2597

Fax

(510) 620-3180

NPI assigned

Mar 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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 and National Provider Directory roles.

• University of California SFGH Medical Group

  • Anesthesiology Physician
  • San Francisco, CA
  • NPI 1366417420
  Medicare reassignment NPD
• University of California SFGH Medical Group

  • Vascular Surgery Physician
  • San Francisco, CA
  • NPI 1033913959
  NPD
• University of California SFGH Medical Group

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1174598296
  NPD
• California Department of Public Health

  • Clinical Medical Laboratory
  • Valencia, CA
  • NPI 1689281784
  NPD (past)

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1831167378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 MARINA BAY PKWY",
            "address_2": "BUILDING P, 2ND FLOOR",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948046403",
            "telephone_number": "510-926-2597",
            "fax_number": "510-620-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MARINA BAY PKWY",
            "address_2": "BUILDING P, 2ND FLOOR",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948046403",
            "telephone_number": "510-926-2597",
            "fax_number": "510-620-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "INA",
        "middle_name": "UNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A80262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA",
            "identifier": "A80262",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NA Ra Pak
• Lilly Pakawongse, RN, MSN, CPNP-PC
• Gretchen Palau
• Toni Papia
• Carlos Parada
• Judith J. Park, MD
• Julie Park
• Olivia Park, MD
• Stephanie D Parker, MD
• Melanie Parra Guerrero

• Family Medicine Physician in Richmond, CA
• Providers in Richmond, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.