SAMUEL RYAN PARK MD
NPI 1023174752
Anesthesiology - Pain Medicine in Orange, CA
About Samuel Ryan Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL RYAN PARK MD (NPI 1023174752) is an individual pain medicine provider in Orange, California, licensed in California (A75650) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Irvine, and is a graduate of New York Medical College (1999).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
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
Samuel Ryan Park Md 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.
Areas of Expertise CMS Part B claims 2
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.
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.
ORANGE, CA 92868
ORANGE, CA 92868
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 Samuel Park's NPI number?
The NPI number for Samuel Park is 1023174752. It was assigned to this individual provider in the NPPES registry on December 28, 2006. The provider is also known as Samuel Park MD.
Where is Samuel Park located?
Samuel Park practices at 101 The City Dr S, Orange, CA 92868. The listed phone number is (714) 456-8888.
What is Samuel Park's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.
Is Samuel Park enrolled in Medicare?
Yes. Samuel 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.
When was this NPI record last updated?
The NPPES record for Samuel Park was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Samuel Ryan Park, MD · NPI 1023174752
Pain Medicine physician in Orange, California. Individual provider, active in the CMS NPPES registry since December 28, 2006.
## Identity
- **NPI:** 1023174752 (Entity type: Individual)
- **Enumerated:** December 28, 2006
- **Primary specialty:** Anesthesiology - Pain Medicine · taxonomy 207LP2900X
- **State license:** A75650 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 THE CITY DR S, Orange, CA 92868-3201
- **Phone:** (714) 456-8888
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** New York Medical College, class of 1999
## Record status
- **NPPES last updated:** June 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1023174752) · Data from the CMS NPPES public registry.