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

Dr. Daniel Park, DO

Individual provider Psychiatry Physician · NPI 1124201801

Dr. Daniel Park, DO is a Psychiatry in Las Vegas, Nevada. Qualified in 2007, 19 years ago. Practices with Medtrans Behavioral Nevada Casal PLLC, a 56-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Nevada.

Years since qualifying
19
Licensed in
NV
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4270 S Decatur Blvd Ste B6
Las Vegas, NV 89103-6802
Phone: (702) 485-2100
Fax: (702) 825-0091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1707 W Charleston Blvd Ste 200, Las Vegas, NV 89102-2353 — (951) 809-5908

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence SL0537 (NV)

Record details

NPI number1124201801
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedDecember 17, 2007
Last updated in NPPESApril 9, 2021
Certification dateApril 9, 2021

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Medtrans Behavioral Nevada Casal Pllc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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