Kristen Park
NPI 1174981229ActiveIndividual· Advanced Practice Midwife· Berkeley, CA
Advanced Practice Midwife in Berkeley, California, trained at University of California, San Francisco School of Medicine (class of 2020). Enrolled in Medicare as practitioner - certified nurse midwife (cnm).
Overview
| NPI | 1174981229 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Feb 3, 2016 |
| Last updated in NPPES | May 8, 2024 |
| Certified by provider | May 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Advanced Practice Midwife Primary | 367A00000X | 236164 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Nurse Midwife (Cnm) (CA) |
|---|
Education and affiliations
| Medical school | University of California, San Francisco School of Medicine |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Certified Nurse Midwife (Cnm) |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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