Thomas C. Park, M.D., Corporation

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

G681040 Issued in CA

Legal business name

THOMAS C. PARK, M.D., CORPORATION

Practice address

500 University Ave
Suite 260
Sacramento, CA 95825-6504

Phone

(916) 929-6705

Fax

(916) 929-6641

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Thomas C Park, MD

Title

Owner

Phone

(916) 929-6705

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912035973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4357",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956174357",
            "telephone_number": "916-929-6705",
            "fax_number": "916-929-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY AVE",
            "address_2": "SUITE 260",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256504",
            "telephone_number": "916-929-6705",
            "fax_number": "916-929-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS C. PARK, M.D., CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-929-6705",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G681040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Paag Thoj, RPH
• Khadija Tholley
• Rose Iye Tholley
• Jamieson Michael Thom, PHARMD
• Wayne S. Thom, M.D.
• Thomas D. Sharples, DDS, Ms, Apc
• Thomas Fleischmann
• Thomas Fong II, OD, Inc
• Thomas H Murphy O D Inc
• Thomas H Murphy, O.D., Inc.

• Vascular Surgery Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.