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

Dai Park, MD

Individual provider Internal Medicine Physician · NPI 1376744896

Dai Park, MD is an Allergy/Immunology in Modesto, California. Graduated from University of Texas Southwestern Medical School at Dallas in 2006, 20 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Tennessee.

Years since qualifying
20
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
CA, TN
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

600 Coffee Rd
Modesto, CA 95355-4201
Phone: (209) 521-6097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence A101619 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 45278 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence A101619 (CA)

Record details

NPI number1376744896
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2007
Last updated in NPPESDecember 22, 2021
Mailing address600 Coffee Rd, Modesto, CA 95355-4201

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyALLERGY/IMMUNOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 2006 (20 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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