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

Timothy Park, DO

Individual provider Family Medicine Physician · NPI 1841602315

Timothy Park, DO is a Psychiatry in Ventura, California. Qualified in 2014, 12 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Iowa.

Years since qualifying
12
Licensed in
CA, IA
In the registry since
2014
Specialties on file
3
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.

See every abbreviation used in this directory →

Practice location Address checks out

2969 Loma Vista Rd
Ventura, CA 93003-2915
Phone: (805) 504-6814
Fax: (805) 667-8920
Show map & directions

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

Additional practice locations (1)

  • 524 W Vista Way, Vista, CA 92083-5704 — (760) 305-4900

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 20A15960 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence DO-04896 (IA)
Psychiatry Physician Taxonomy 2084P0800X · Licence DO-04896 (IA)

Record details

NPI number1841602315
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 2, 2014
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026
Mailing address2969 Loma Vista Rd, Ventura, CA 93003-2915

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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