Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538179619 Individual Practitioner Female Practitioner

Debora Lynn Park

Radiologic Technologist • Loomis, CA

Professional Overview & Biography Verified Profile Summary

Debora Park is a registered healthcare professional specializing in Radiologic Technologist in Loomis, CA. Practice services are available at 6135 KING ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6135 King Road
Suite A

Loomis, CA 956508877

Telephone 9166520427
Fax 9166524197
Associated Practice Facility / Clinic
🏢 Loomis Medical Clinic Facility NPI 1174707921

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiologic Technologist in Loomis, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Loomis, CA (105 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Radiologic Technologist Primary Specialty

NUCC Taxonomy Code: 247100000X

State License CA RHP72501

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Gary Gramm , DO

Family Medicine

NPI 1235143736

Doctor of Osteopathic Medicine (D.O.)

Julie Mcrae , NP

Nurse Practitioner

NPI 1720377898

Nurse Practitioner

Heidi Harvey , NP

Nurse Practitioner

NPI 1902820319

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 6135 KING ROAD, SUITE A, LOOMIS, CA 956508877 (Tel: 9166520427)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6135 KING ROAD, SUITE A, LOOMIS, CA 956508877 (Tel: 9166520427)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DEBORA PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Radiologic Technologist (License #RHP72501 in CA)

🟢
Initial NPI Registration & Enumeration August 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538179619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

6135 King Road, Suite A

Loomis, CA 956508877

Phone: 9166520427

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.