CAITLYN JEEIN PARK
NPI 1003462722
Nurse Practitioner - Family in Buena Park, CA

Q: What is Caitlyn Park's NPI number?

The NPI number for Caitlyn Park is 1003462722. It was assigned to this individual provider in the NPPES registry on August 18, 2019.

Q: What is Caitlyn Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Caitlyn Park was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 18, 2019PECOS Enrolled

7212 ORANGETHORPE AVE STE 9A, BUENA PARK, CA 90621(714) 503-6550 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2021, Jun 11, 2021, Aug 18, 2019 (3 updates tracked since 2019).

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About Caitlyn Jeein Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAITLYN JEEIN PARK (NPI 1003462722) is an individual family provider in Buena Park, California, licensed in California (95017087) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003462722

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCAITLYN JEEIN PARK

Location Address7212 ORANGETHORPE AVE STE 9ABuena Park, CA 90621-4668

Mailing Address7212 Orangethorpe Ave Ste 9aBuena Park, CA 90621-4668 · (714) 503-6550

Phone(714) 503-6550

Sole ProprietorNo

Enumeration DateAugust 18, 2019

Last NPPES UpdateJuly 1, 20213 updates tracked since enumeration

NPPES CertifiedJuly 1, 2021

✔ NPI 1003462722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95017087

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 95160347 (CA)

7212 ORANGETHORPE AVE STE 9A, Buena Park, CA 90621

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caitlyn Jeein Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RANA CHOI NP

Nurse Practitioner (Family)