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

Mrs. Jiweon Nina Park, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1417193541

Mrs. Jiweon Nina Park, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Stanford, California. Qualified in 2008, 18 years ago. Practices with University of California Sfgh Medical Group, a 571-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2008
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 081348 (CA)

Record details

NPI number1417193541
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 19, 2008
Last updated in NPPESMarch 10, 2020
Certification dateMarch 10, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice University Of California Sfgh Medical Group — 571 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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