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Samuel W Park MD Inc

Orthopaedic Surgery Physician in Mission Viejo, CA · enumerated 2011 · authorized official Dawn Reimer, Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1801177753

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Registry record

Entity type Organization (Type 2)
Legal business name Samuel W Park MD Inc
Practice address 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA, 92691
Fax (949) 496-8872
Enumeration date Sep 6, 2011
Last updated in NPPES Sep 6, 2011

Taxonomy & classification

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License A96320 (CA) Primary

Authorized official

Name Dawn Reimer
Title Credentialing

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Samuel W Park MD Inc?
NPPES lists Dawn Reimer (Credentialing) as the authorized official for this organization.
What is the NPI number for Samuel W Park MD Inc?
The NPI for Samuel W Park MD Inc is 1801177753, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-09-06.