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SALLY PARK
NPI 1306417571
Nurse Practitioner - Psychiatric/Mental Health in Santa Ana, CA

Active since July 08, 2021
1650 E 4TH ST STE 101, SANTA ANA, CA 92701(714) 525-8509 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2026, Jul 21, 2022, Aug 28, 2021 and 1 more (4 updates tracked since 2021).

About Sally Park NPPES

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

SALLY PARK (NPI 1306417571) is an individual psychiatric/mental health provider in Santa Ana, California, licensed in California (95017023) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1306417571
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSALLY PARK
Location Address1650 E 4TH ST STE 101Santa Ana, CA 92701-5159
Mailing Address1650 E 4th St Ste 101Santa Ana, CA 92701-5159
Phone(714) 525-8509
Sole ProprietorNo
Enumeration DateJuly 8, 2021
Last NPPES UpdateApril 13, 20264 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1306417571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95017023
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95017023 (CA)
1650 E 4TH ST STE 101, Santa Ana, CA 92701
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Other Providers at the Same Location NPPES 14

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

MRS. DAISY MAYELA PEREZ GAMBOA MS, APCC
Counselor (Mental Health)
1650 E 4TH ST STE 101
SANTA ANA, CA 92701
Orange County (877) 611-2272
ALEXANDER CHAVEZ-SILES
Counselor (Mental Health)
1650 E 4TH ST STE 101
SANTA ANA, CA 92701
Orange County (714) 525-8509
DR. MARIA CARINA ABENES PSY
Psychologist (Clinical)
1650 E 4TH ST STE 101
SANTA ANA, CA 92701
Orange County (714) 525-8509
ALEXANDRA MCDOWELL PSYD
Psychologist
1650 E 4TH ST STE 101
SANTA ANA, CA 92701
Orange County (714) 525-8509
NOGALES PSYCHOLOGICAL COUNSELING, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
1650 E 4TH ST STE 101
SANTA ANA, CA 92701
Orange County (714) 525-8509
KAREN MAGANA
Marriage & Family Therapist
1650 E 4TH ST STE 101
SANTA ANA, CA 92701
Orange County (714) 667-5220
LAURA ELENA FLORES
Marriage & Family Therapist
1650 E 4TH ST STE 101
SANTA ANA, CA 92701
Orange County (714) 667-5220
ALEJANDRA ANACLETO
Counselor (Mental Health)
1650 E 4TH ST STE 101
SANTA ANA, CA 92701
Orange County (877) 611-2272

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 Sally Park's NPI number?

The NPI number for Sally Park is 1306417571. It was assigned to this individual provider in the NPPES registry on July 8, 2021.

Where is Sally Park located?

Sally Park practices at 1650 E 4th St Ste 101, Santa Ana, CA 92701. The listed phone number is (714) 525-8509.

What is Sally Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Sally Park was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.