MS. SOOK JA PARK FNP-BC, ANP-BC
NPI 1184682999
Nurse Practitioner - Family in Victorville, CA

Q: What is Sook Ja Park's NPI number?

The NPI number for Sook Ja Park is 1184682999. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Q: What is Sook Ja Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sook Ja Park was last updated on February 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since May 02, 2006

15381 7TH ST, VICTORVILLE, CA 92395(760) 245-2380(760) 245-2584 Get Directions Write a Review

NPPES record last updated: February 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Sook Ja Park Fnp-bc, Anp-bc NPPES

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

MS. SOOK JA PARK FNP-BC, ANP-BC (NPI 1184682999) is an individual family provider in Victorville, California, licensed in California (10478) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1184682999

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. SOOK JA PARKCredential: FNP-BC, ANP-BC

Location Address15381 7TH STVictorville, CA 92395-3803

Mailing Address3852 Yellowstone CirChino, CA 91710-5623 · (909) 393-2721

Phone(760) 245-2380

Fax(760) 245-2584

Sole ProprietorNo

Enumeration DateMay 2, 2006

Last NPPES UpdateFebruary 14, 2011

✔ NPI 1184682999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 10478

15381 7TH ST, Victorville, CA 92395

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Other Identifiers 4

Medicare PINBV704ZCA

Medicare PINBV704YCA

Medicare PINBV704XCA

Medicare UPIN969017CA

Other Providers at the Same Location NPPES 2

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

DR. ARTHUR ESCOLIN JIMENEZ M.D.

Family Medicine

15381 7TH ST, SUITE 2 & 3
VICTORVILLE, CA 92395

San Bernardino County (760) 245-2380

ARTHUR E. JIMENEZ, M.D., INC.

Family Medicine

15381 7TH ST, SUITE 2 & 3
VICTORVILLE, CA 92395

San Bernardino County (760) 245-2380

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 Sook Ja Park's NPI number?

The NPI number for Sook Ja Park is 1184682999. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Sook Ja Park located?

Sook Ja Park practices at 15381 7th St, Victorville, CA 92395. The listed phone number is (760) 245-2380.

What is Sook Ja Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Sook Ja Park was last updated on February 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.