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

Sally Park

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1306417571

Sally Park is a Psychiatric/Mental Health Nurse Practitioner in Santa Ana, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1650 E 4th St Ste 101
Santa Ana, CA 92701-5159
Phone: (714) 525-8509
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95017023 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95017023 (CA)

Record details

NPI number1306417571
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 8, 2021
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026

Other providers in Santa Ana