| Dr Richard Park, MD | |
|
10515 Balboa Blvd Ste 325, Granada Hills, CA 91344-6364 | |
| (186) 789-8758 | |
| (747) 200-2589 |
| Full Name | Dr Richard Park |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 20 Years |
| Location | 10515 Balboa Blvd Ste 325, Granada Hills, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174718134 | NPI | - | NPPES |
| 1174718134 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A111560 (California) | Secondary |
| 208M00000X | Hospitalist | A111560 (California) | Secondary |
| 207R00000X | Internal Medicine | A111560 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pinnacle Home Health Care, Inc | Burbank, CA | Home health agency |
| Entity Name | Richard Park Md A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982946323 PECOS PAC ID: 2163643966 Enrollment ID: O20141020002638 |
| Entity Name | Advantage Hospitalists, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801269881 PECOS PAC ID: 7810291531 Enrollment ID: O20160201000977 |
| Entity Name | Affordable Urgent Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992330690 PECOS PAC ID: 0840617676 Enrollment ID: O20200825002838 |
| Entity Name | Longevita Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730774076 PECOS PAC ID: 9133528359 Enrollment ID: O20210520001175 |
| Entity Name | Family Care Md Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235808478 PECOS PAC ID: 1951799022 Enrollment ID: O20211021001773 |
| Entity Name | Us Health Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598312001 PECOS PAC ID: 8921497249 Enrollment ID: O20211108001265 |
| Entity Name | Mobile Care Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629642921 PECOS PAC ID: 7315330859 Enrollment ID: O20220207000424 |
| Entity Name | Active Mobile Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184370199 PECOS PAC ID: 8527445766 Enrollment ID: O20220510000700 |
| Entity Name | Espir Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831808062 PECOS PAC ID: 7416328869 Enrollment ID: O20230120002461 |
| Entity Name | Palmdale Urgent Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699480038 PECOS PAC ID: 6901262989 Enrollment ID: O20230517001227 |
| Entity Name | Global Wound Care Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20230517001871 |
| Entity Name | Carepath Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851085948 PECOS PAC ID: 8224499868 Enrollment ID: O20230731001021 |
| Entity Name | Mvp Medical Group-a Professional Nursing Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902651292 PECOS PAC ID: 9436591492 Enrollment ID: O20240522004079 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Park, MD 2709 Rocky Point Ct., Thousand Oaks, CA 91362 Ph: (661) 319-1908 | Dr Richard Park, MD 10515 Balboa Blvd Ste 325, Granada Hills, CA 91344-6364 Ph: (186) 789-8758 |
Dr. Brian Barrios Ayuste, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10605 Balboa Blvd, 240, Granada Hills, CA 91344 Phone: 818-366-4626 Fax: 818-366-4630 | |
Michael Saul Golub, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 17681 Arvida Dr, Granada Hills, CA 91344 Phone: 818-363-4871 Fax: 818-363-4871 | |
Jeffrey Liu Chow, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10605 Balboa Blvd Ste 240, Granada Hills, CA 91344 Phone: 818-366-4626 Fax: 818-366-4630 | |
Elaheh Farhadian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17447 Chatsworth St, Granada Hills, CA 91344 Phone: 818-923-5702 Fax: 818-923-5703 | |
Dr. Madras K Padmanabhan, MD FACC Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10515 Balboa Blvd, #290, Granada Hills, CA 91344 Phone: 818-832-5777 Fax: 818-832-5779 | |
Dr. Neeraj M Patel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10515 Balboa Blvd Ste 290, Granada Hills, CA 91344 Phone: 818-831-8999 Fax: 818-831-8990 | |
Kalyani Nilesh Mehta, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10605 Balboa Blvd, 240, Granada Hills, CA 91344 Phone: 818-366-4626 Fax: 818-366-4630 |