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MICHELLE MYOUNGWOO PARK NP, RN
NPI 1346616745
Nurse Practitioner - Family in Berkeley, CA

Active since August 19, 2015
3075 ADELINE ST STE 280, BERKELEY, CA 94703(510) 981-4100 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michelle Myoungwoo Park Np, Rn NPPES

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

MICHELLE MYOUNGWOO PARK NP, RN (NPI 1346616745) is an individual family provider in Berkeley, California, licensed in California (95002767) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1346616745
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE MYOUNGWOO PARKCredential: NP, RN
Location Address3075 ADELINE ST STE 280Berkeley, CA 94703-2580
Mailing Address300 Corporate Pointe, Ste 465Culver City, CA 90230-8706 · (510) 981-4100
Phone(510) 981-4100
Sole ProprietorNo
Enumeration DateAugust 19, 2015
Last NPPES UpdateAugust 16, 2021
NPPES CertifiedAugust 16, 2021
✔ NPI 1346616745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95002767
Also ListedRegistered NurseTaxonomy 163W00000X · License 847491 (CA)
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License 87621 (CA)
3075 ADELINE ST STE 280, Berkeley, CA 94703
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Other Providers at the Same Location NPPES 13

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

KAYLAN LICAUSI ASW
Social Worker
3075 ADELINE ST STE 280
BERKELEY, CA 94703
Alameda County (510) 981-4100
JESSICA VAN KESSEL RN
Registered Nurse
3075 ADELINE ST STE 280
BERKELEY, CA 94703
Alameda County (510) 486-3452
MARIAM ATTAWIA NP
Nurse Practitioner (Family)
3075 ADELINE ST STE 280
BERKELEY, CA 94703
Alameda County (510) 981-4100
NICOLE SATA
Advanced Practice Midwife
3075 ADELINE ST STE 280
BERKELEY, CA 94703
Alameda County (510) 981-4100
SARAH CLUFF RN
Clinical Nurse Specialist (Gerontology)
3075 ADELINE ST STE 280
BERKELEY, CA 94703
Alameda County (510) 486-3471
LIFELONG MEDICAL CARE
Non-Pharmacy Dispensing Site
3075 ADELINE ST STE 280
BERKELEY, CA 94703
Alameda County (510) 981-4100
JANELLE ABIGAIL SILVIS RN, MSN, AGPCNP-BC
Nurse Practitioner (Primary Care)
3075 ADELINE ST STE 280
BERKELEY, CA 94703
Alameda County (510) 981-4100
AMY MOSLEY FNP-C, L.AC.
Nurse Practitioner (Family)
3075 ADELINE ST STE 280
BERKELEY, CA 94703
Alameda County (510) 981-4100

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 Michelle Park's NPI number?

The NPI number for Michelle Park is 1346616745. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Where is Michelle Park located?

Michelle Park practices at 3075 Adeline St Ste 280, Berkeley, CA 94703. The listed phone number is (510) 981-4100.

What is Michelle 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 Michelle Park was last updated on August 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.