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KAITLYN MIN PARK NP
NPI 1932668423
Nurse Practitioner - Family in Pasadena, CA

Active since March 14, 2019
625 S FAIR OAKS AVE STE 215, PASADENA, CA 91105(626) 793-4139(626) 304-8280 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2021, Mar 14, 2019 (2 updates tracked since 2019).

About Kaitlyn Min Park Np NPPES

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

KAITLYN MIN PARK NP (NPI 1932668423) is an individual family provider in Pasadena, California, licensed in California (95010268) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1932668423
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAITLYN MIN PARKCredential: NP
Location Address625 S FAIR OAKS AVE STE 215Pasadena, CA 91105-2613
Mailing Address3452 E Foothill Blvd Ste 130Pasadena, CA 91107-6006 · (626) 793-2885 · Fax (626) 793-6262
Phone(626) 793-4139
Fax(626) 304-8280
Sole ProprietorNo
Enumeration DateMarch 14, 2019
Last NPPES UpdateJanuary 5, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2021
✔ NPI 1932668423 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 · 95010268
625 S FAIR OAKS AVE STE 215, Pasadena, CA 91105
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Other Names 1

Former Name (1)Kaitlyn J Min Np

Other Providers at the Same Location NPPES 10

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

AMISH A PATEL MD
Internal Medicine (Cardiovascular Disease)
625 S FAIR OAKS AVE STE 215
PASADENA, CA 91105
Los Angeles County (626) 793-4139
RACHEL MINJOO LEE FNP
Nurse Practitioner (Family)
625 S FAIR OAKS AVE STE 215
PASADENA, CA 91105
Los Angeles County (626) 793-4139
FOOTHILL CARDIOLOGY MEDICAL GROUP INC
Internal Medicine (Cardiovascular Disease)
625 S FAIR OAKS AVE STE 215
PASADENA, CA 91105
Los Angeles County (626) 793-4139
MRS. ADRIANA ELENA GRAMSAS DNP, AGNP-C
Nurse Practitioner (Primary Care)
625 S FAIR OAKS AVE STE 215
PASADENA, CA 91105
Los Angeles County (626) 793-4139
KATHY TRINH NP
Nurse Practitioner (Family)
625 S FAIR OAKS AVE STE 215
PASADENA, CA 91105
Los Angeles County (626) 793-4139
LOUISE CAROLINE LALONDE NP
Nurse Practitioner (Acute Care)
625 S FAIR OAKS AVE STE 215
PASADENA, CA 91105
Los Angeles County (626) 793-4139
LEO UNGAR M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
625 S FAIR OAKS AVE STE 215
PASADENA, CA 91105
Los Angeles County (626) 793-4130
RAUL FERNANDO ROTH M.D.
Internal Medicine (Cardiovascular Disease)
625 S FAIR OAKS AVE STE 215
PASADENA, CA 91105
Los Angeles County (626) 793-4139

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 Kaitlyn Park's NPI number?

The NPI number for Kaitlyn Park is 1932668423. It was assigned to this individual provider in the NPPES registry on March 14, 2019. The provider is also known as Kaitlyn J Min Np.

Where is Kaitlyn Park located?

Kaitlyn Park practices at 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105. The listed phone number is (626) 793-4139.

What is Kaitlyn 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 Kaitlyn Park was last updated on January 5, 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.