Active NPI
Arthur Myunghoon Park, M.D.
- Obstetrics & Gynecology Physician
- Bakersfield, CA
National Provider Identifier
1992738843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A44597
- Practice address
- 9508 Stockdale Hwy
Suite 110
Bakersfield, CA 93311-3622 - Phone
- (661) 663-0818
- Fax
- (661) 663-0516
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A44597 | CA | Primary |
Addresses
Primary practice location
9508 Stockdale Hwy
Suite 110
Bakersfield, CA 93311-3622
Mailing address
2502 Tiverton Dr
Bakersfield, CA 93311-9387
Phone (661) 663-0818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A445970 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461888000000",
"number": "1992738843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2502 TIVERTON DR",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933119387",
"telephone_number": "661-663-0818",
"fax_number": "661-663-0516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9508 STOCKDALE HWY",
"address_2": "SUITE 110",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933113622",
"telephone_number": "661-663-0818",
"fax_number": "661-663-0516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "ARTHUR",
"middle_name": "MYUNGHOON",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2016-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A44597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A445970",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.