JAIMIE J PARK MD
NPI 1174103071
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Active since April 13, 2021
11234 ANDERSON ST, LOMA LINDA, CA 92354(909) 558-2600 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jaimie J Park Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAIMIE J PARK MD (NPI 1174103071) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1174103071
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJAIMIE J PARKCredential: MD
Location Address11234 ANDERSON STLoma Linda, CA 92354-2804
Mailing Address11234 Anderson StLoma Linda, CA 92354-2804 · (909) 558-2600
Sole ProprietorNo
Enumeration DateApril 13, 2021
NPPES CertifiedApril 13, 2021
NPI 1174103071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11234 ANDERSON ST, Loma Linda, CA 92354

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaimie Park's NPI number?

The NPI number for Jaimie Park is 1174103071. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Jaimie Park located?

Jaimie Park practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-2600.

What is Jaimie Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jaimie Park was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.