| NPI | 1376744896 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-05-31 |
| Last Updated | 2021-12-22 |
| Mailing Address | 600 Coffee Rd Modesto, CA 95355-4201 United States Phone: (209) 521-6097 📍 View Map |
| Primary Practice Address | 600 Coffee Rd Modesto, CA 95355-4201 United States Phone: (209) 521-6097 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207R00000X – Internal Medicine | TN | 45278 |
| No | 207R00000X – Internal Medicine | CA | A101619 |
| Yes | 207K00000X – Allergy & Immunology | CA | A101619 |
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About NPI 1376744896
Dai Park M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1376744896. The primary specialty listed is Allergy & Immunology. The provider is located in Modesto, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-05-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1376744896?
NPI 1376744896 belongs to Dai Park M.D., a Allergy & Immunology in Modesto, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1376744896 active?
The current status of NPI 1376744896 in the NPPES registry is Active. The record was last updated on 2021-12-22.
What specialty is NPI 1376744896?
NPI 1376744896 is classified under the taxonomy Allergy & Immunology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1376744896?
You can verify NPI 1376744896 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1376744896?
The primary practice address on file for NPI 1376744896 is 600 Coffee Rd, Modesto, CA 95355-4201. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1376744896 issued?
NPI 1376744896 was first issued (enumerated) on 2007-05-31. The NPPES record was last updated on 2021-12-22.
Practice Location Map
Dai Park is located at 600 Coffee Rd, Modesto, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Dai Park. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1376744896. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 45278 | TN |
| Internal Medicine | A101619 | CA |
| Allergy & Immunology | A101619 | CA |