DR. SAMUEL PARK M.D. - NPI 1922363183 - Preventive Medicine in San Diego, CA

Q: What is Samuel Park's NPI number?

The NPI number for Samuel Park is 1922363183. It was assigned to this individual provider in the NPPES registry on July 12, 2012.

Q: What is Samuel Park's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Park was last updated on February 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

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About Dr. Samuel Park M.d. NPPES

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

DR. SAMUEL PARK M.D. (NPI 1922363183) is an individual public health & general preventive medicine provider in San Diego, California, licensed in California (A127125) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1922363183

Entity TypeIndividualMale

Primary Taxonomy2083P0901X

Provider Legal NameDR. SAMUEL PARKCredential: M.D.

Location Address2448 HISTORIC DECATUR RD STE 130San Diego, CA 92106-6127

Mailing Address2448 Historic Decatur Rd, Ste 130San Diego, CA 92106-6127 · (619) 398-2960

Phone(619) 398-2960

Sole ProprietorNo

Enumeration DateJuly 12, 2012

Last NPPES UpdateFebruary 14, 2019

✔ NPI 1922363183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083P0901X

License✔ Licensed in CA · A127125

Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

2448 HISTORIC DECATUR RD STE 130, San Diego, CA 92106

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Other Providers at the Same Location NPPES

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

LEE RICE D.O. MEDICAL CORPORATION

Family Medicine

2448 HISTORIC DECATUR RD STE 130
SAN DIEGO, CA 92106

San Diego County (619) 398-2960

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 Samuel Park's NPI number?

The NPI number for Samuel Park is 1922363183. It was assigned to this individual provider in the NPPES registry on July 12, 2012.

Where is Samuel Park located?

Samuel Park practices at 2448 Historic Decatur Rd Ste 130, San Diego, CA 92106. The listed phone number is (619) 398-2960.

What is Samuel Park's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

When was this NPI record last updated?

The NPPES record for Samuel Park was last updated on February 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.