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Deactivated NPI 1518437367 Deactivated / Inactive NPI Male Practitioner

Aaron Park

Physician Assistant • Visalia, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Aaron Park has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 04, 2018
NPI Deactivation Date January 03, 2024
Total Practice Duration ~6 Years of Practice (2018 – 2024)

Professional Overview & Biography Verified Profile Summary

Aaron Park was a registered Physician Assistant practicing in Visalia, CA. Throughout an active medical career spanning 6 years, Aaron Park provided care at the practice location at 400 W MINERAL KING AVE until profile deactivation on 2024-01-03.

Historical Medicare Part B clinical services included emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

400 W Mineral King Ave

Visalia, CA 932916237

Telephone 5596422000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Visalia, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.6 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
112 Specialists

Practicing in Visalia, CA (14617 Statewide)

Telehealth Adoption Rate
9.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
116 113 $1165.00 $147.89
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
83 83 $60.00 $6.98
99284 Emergency department visit with moderate level of medical decision making
28 24 $792.00 $101.96
99291 Critical care, first 30-74 minutes
11 11 $1535.00 $180.88

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 56322

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Lucy Barber , DNP

Nurse Practitioner

NPI 1073072864

Doctor of Nursing Practice

Dr. William Winn , MD

Internal Medicine - Pulmonary Disease

NPI 1366467425

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 03, 2024

Record deactivated on January 03, 2024

NPI Profile Active December 04, 2018

NPI status registered as active in NPPES database

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Updated Practice Location December 04, 2018

Registered at 400 W MINERAL KING AVE, VISALIA, CA 932916237 (Tel: 5596422000)

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Updated Business Mailing Address December 04, 2018

Registered at 3200 E PALM DR APT G429, FULLERTON, CA 928311757 (Tel: 8312271797)

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Provider Name / Credentials Updated December 04, 2018

Recorded as AARON PARK

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2018

Physician Assistant (License #56322 in CA)

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Initial NPI Registration & Enumeration December 04, 2018

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: 1518437367
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2018
Last Update: December 04, 2018
Deactivation Date: January 03, 2024

Mailing Address

3200 E Palm Dr Apt G429

Fullerton, CA 928311757

Phone: 8312271797

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.