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AMY KANGME PARK DO
NPI 1013404623
Physical Medicine & Rehabilitation - Pain Medicine in Loma Linda, CA

Active since April 18, 2018PECOS EnrolledAccepts Medicare Assignment
11406 LOMA LINDA DR, LOMA LINDA, CA 92354(909) 558-6277 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amy Kangme Park Do NPPES

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

AMY KANGME PARK DO (NPI 1013404623) is an individual pain medicine provider in Loma Linda, California, licensed in California (20011) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and maintains a secondary practice location in Southampton.

NPPES Registry Identity

NPI1013404623
Entity TypeIndividualFemale
Primary Taxonomy2081P2900X
Provider Legal NameAMY KANGME PARKCredential: DO
Location Address11406 LOMA LINDA DRLoma Linda, CA 92354-3711
Mailing Address11406 Loma Linda DrLoma Linda, CA 92354-3711
Phone(909) 558-6277
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2018
Enumeration DateApril 18, 2018
Last NPPES UpdateApril 18, 2023
NPPES CertifiedApril 18, 2023
✔ NPI 1013404623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in CA · 20011
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11406 LOMA LINDA DR, Loma Linda, CA 92354
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Secondary Practice Location 1

Location 1240 Meeting House LnSouthampton, NY 11968-5009 · Phone (516) 978-7022

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy Kangme Park Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557716768
PECOS Enrollment IDI20231009000503
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
142 services73 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
64 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
49 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

MS. RANDI JEANNE WALKER OTRL, CHT
Occupational Therapist (Hand)
11406 LOMA LINDA DR, WEST ENTRANCE
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6144
SCOTT STRUM M.D.
Physical Medicine & Rehabilitation
11406 LOMA LINDA DR, STE 300
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6277
MR. MINH Q. TRAN C.P.
Prosthetist
11406 LOMA LINDA DR, SUITE 407
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6272
MR. MICHAEL JAMES DAVIDSON
Orthotist
11406 LOMA LINDA DR
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4000
RYAN CURTIS DOLINSKY PT
Physical Therapist (Orthopedic)
11406 LOMA LINDA DR
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6144
DAVIN YAH-MING CHU M.D.
Physical Medicine & Rehabilitation
11406 LOMA LINDA DR, SUITE 516
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4000
DR. THADDEUS EARL WILSON M.D.
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
11406 LOMA LINDA DR, PHYSICAL MEDICINE AND REHABILITATION
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6275
DR. MICHAEL S WONG D.P.T.
Physical Therapist (Orthopedic)
11406 LOMA LINDA DR
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Park's NPI number?

The NPI number for Amy Park is 1013404623. It was assigned to this individual provider in the NPPES registry on April 18, 2018.

Where is Amy Park located?

Amy Park practices at 11406 Loma Linda Dr, Loma Linda, CA 92354. The listed phone number is (909) 558-6277.

What is Amy Park's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Amy Park enrolled in Medicare?

Yes. Amy Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Amy Park affiliated with any hospitals?

According to CMS data, Amy Park is affiliated with Ns/Lij Hs Southside Hospital, North Shore University Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Amy Park was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.