Doctor profile · Federal record
Dr. Beau Park, M.D.
Gynecology Physician (CMS: Obstetrics/Gynecology) · Obstetrics & Gynecology Physician · Greenbrae, CA
- NPI 1184914046
- 15 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
100A Drakes Landing RD
Greenbrae, CA 949042438
(415) 461-7800 - Mailing address
-
531 D St Apt C
San Rafael, CA 949014068
Credentials & registration
- NPI registered
- April 2011 — 15 yrs on file
- Profile last updated
- August 7, 2024
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 207VG0400X — NUCC code
- State licenses (2)
- California #C185568 · Pennsylvania #MD461241
- Medicaid
- PA #1033491940001
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1184914046. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$151
Transactions
4
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Hologic Sales and Service, LLC | 3 | $139.53 | |
| Intuitive Surgical, INC. | 1 | $11.18 |
By nature of payment
Frequently asked questions
What is Dr. Beau Park's medical specialty?
Dr. Beau Park practices Gynecology Physician in Greenbrae, CA.
Where does Dr. Beau Park practice?
Dr. Beau Park practices at 100A Drakes Landing RD, Greenbrae, CA 949042438. Office phone: 4154617800.
What is Dr. Beau Park's NPI?
Dr. Beau Park's National Provider Identifier (NPI) is 1184914046, issued by NPPES.
Does Dr. Beau Park accept Medicare assignment?
Dr. Beau Park does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.