TARI Y. PARK MD – NPI #1285669085
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

TARI PARK is a physician located in EL CAJON, CA. NPPES has assigned the NPI number 1285669085 to TARI PARK on July 11, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her other name YOUNG JU PARK. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 15 years ago on Feb 01, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TARI PARK below.

NPI Profile for
TARI Y. PARK

NPI Number
1285669085
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TARI Y. PARK
Other Name: YOUNG JU PARK
Credentials
MD
Primary location
250 E CHASE AVE
108
EL CAJON, CA 92020-6305
Phone: (619) 442-2560 Fax: (619) 442-7836
Mailing address
3860 CALLE FORTUNADA
200
SAN DIEGO, CA 92123-4800
Phone: (858) 636-4300 Fax: (858) 636-4319
Sole Proprietor
No
Updated
Identifiers

Identifiers for TARI PARK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMD LICENSECAA74537
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
CA A74537

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.