Samuel Ryan Park, MD | |
22 Odyssey Ste 155, Irvine, CA 92618-3194 | |
(949) 207-7650 | |
Not Available |
Full Name | Samuel Ryan Park |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 25 Years |
Location | 22 Odyssey Ste 155, Irvine, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023174752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A75650 (California) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | A75650 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Foothill Regional Medical Center | Tustin, CA | Hospital |
Chapman Global Medical Center | Orange, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orange Coast Anesthesia Inc | 2466613591 | 81 |
Entity Name | Orange Coast Anesthesia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508138256 PECOS PAC ID: 2466613591 Enrollment ID: O20120417000047 |
Entity Name | Talbert Anesthesia Group Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144626714 PECOS PAC ID: 6406171461 Enrollment ID: O20150213001921 |
Mailing Address | Practice Location Address |
---|---|
Samuel Ryan Park, MD 22 Odyssey Ste 155, Irvine, CA 92618-3194 Ph: () - | Samuel Ryan Park, MD 22 Odyssey Ste 155, Irvine, CA 92618-3194 Ph: (949) 207-7650 |
Dr. Richard Selwyn Ginsburg, MBCHB Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 26 Waterway, Irvine, CA 92614 Phone: 949-231-7234 | |
Amir B Rafizad, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 113 Waterworks Way, Suite 345, Irvine, CA 92618 Phone: 949-872-2400 Fax: 949-872-2401 | |
Bruce Thuman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 15825 Laguna Canyon Rd, Irvine, CA 92618 Phone: 949-341-3499 Fax: 949-788-0556 | |
Dr. Ariana Marie Nelson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 19200 Jamboree Rd, Irvine, CA 92612 Phone: 714-456-8888 | |
Edouard E Rivera, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 18102 Sky Park Cir Ste D, Irvine, CA 92614 Phone: 949-723-9603 | |
William Mading, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 15825 Laguna Canyon Rd, #200, Irvine, CA 92618 Phone: 929-341-3499 Fax: 949-788-0556 |