Active NPI
William Park, M.D., Inc
- Anesthesiology Physician
- Downey, CA
National Provider Identifier
1861663338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A52866
- Legal business name
- WILLIAM PARK, M.D., INC
- Practice address
- 11500 Brookshire Ave
Downey, CA 90241-4917 - Phone
- (562) 904-5000
- Fax
- (562) 904-5140
- NPI assigned
- Mar 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Park, MD
- Title
- President
- Phone
- (949) 706-4433
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A52866 | CA | Primary |
Addresses
Primary practice location
11500 Brookshire Ave
Downey, CA 90241-4917
Mailing address
PO Box 1809
Orange, CA 92856-0809
Phone (714) 560-1580
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A528661 | Medicaid | CA | |
| 00A528661 | Other | CA | BLUESHIELD |
National Provider Directory
National Provider Directory- Tax ID family
- William Park M D Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pain Medicine (Anesthesiology) Physician
- Garden Grove, CA
- NPI 1851530687
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Garden Grove, CA
- NPI 1821002288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205280000000",
"number": "1861663338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1809",
"city": "ORANGE",
"state": "CA",
"postal_code": "928560809",
"telephone_number": "714-560-1580",
"fax_number": "714-560-1585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11500 BROOKSHIRE AVE",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902414917",
"telephone_number": "562-904-5000",
"fax_number": "562-904-5140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM PARK, M.D., INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-12",
"last_updated": "2008-03-12",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-706-4433",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "A52866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A528661",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUESHIELD",
"identifier": "00A528661",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.