Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason a Park MD a Professional Medical Corporation

Organization Surgery Physician · NPI 1821449430

Jason a Park MD a Professional Medical Corporation is a Surgery Physician in Sacramento, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

1111 Exposition Blvd Ste 400A
Sacramento, CA 95815-4336
Phone: (916) 570-2840
Fax: (916) 570-2845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A62812 (CA)

Record details

NPI number1821449430
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paula Laiewski — Accounting Manager · (916) 570-2840
NPI enumeratedJune 24, 2016
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024
Mailing address1111 Exposition Blvd, Building 400 Suite A, Sacramento, CA 95815-4314

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