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

Dealie Elizabeth Park, PA

Individual provider Surgical Physician Assistant · NPI 1427161488

Dealie Elizabeth Park, PA is a Physician Assistant in Westlake Village, California. Qualified in 1996, 30 years ago. Practices with Regents of the University of California, a 136-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
30
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

30870 Russell Ranch Rd Ste 330
Westlake Village, CA 91362-7372
Phone: (805) 497-7015
Fax: (805) 497-7315
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA15401 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA15401 (CA)

Record details

NPI number1427161488
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESMay 1, 2024
Certification dateMay 1, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Regents Of The University Of California — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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