DR. ANDREW PARK MD
NPI 1033678305
Dermatology in Los Angeles, CA
About Dr. Andrew Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANDREW PARK MD (NPI 1033678305) is an individual dermatology provider in Los Angeles, California, licensed in California (A188055) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Long Beach, and is a graduate of Geisel School Of Medicine At Dartmouth (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Andrew 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.
Medicare Billing Reassignments
3Medicare enrollment records show Andrew Park reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Beverly Hills, CA 90210
- Reassigned Medicare billing, California enrollment
- 8 clinicians in this Medicare group
Los Angeles, CA 90034
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Newport Beach, CA 92660
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: J Robert West MD Inc
- 121 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Andrew Park's NPI number?
The NPI number for Andrew Park is 1033678305. It was assigned to this individual provider in the NPPES registry on March 17, 2019.
Where is Andrew Park located?
Andrew Park practices at 11645 Wilshire Blvd Ste 900, Los Angeles, CA 90025. The listed phone number is (424) 243-7668.
What is Andrew Park's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Andrew Park enrolled in Medicare?
Yes. Andrew 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.
Which organizations bill Medicare for Andrew Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Park reassigns Medicare benefits to 3 organizations: Dermatology Associates Of Beverly Hills (Beverly Hills, CA), Southern California Permanente Medical Group (Los Angeles, CA) and J Robert West, M.D., Inc (Newport Beach, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Park accept?
Health plans from UnitedHealthcare list Andrew Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Andrew Park was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Andrew Park, MD · NPI 1033678305
Dermatology physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 17, 2019.
## Identity
- **NPI:** 1033678305 (Entity type: Individual)
- **Enumerated:** March 17, 2019
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** A188055 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11645 WILSHIRE BLVD STE 900, Los Angeles, CA 90025-6811
- **Phone:** (424) 243-7668 · **Fax:** (213) 408-4414
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Dermatology Associates Of Beverly Hills (NPI 1649098971, Beverly Hills, CA); Southern California Permanente Medical Group (NPI 1043242563, Los Angeles, CA); J Robert West, M.D., Inc (NPI 1932154788, Newport Beach, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Geisel School Of Medicine At Dartmouth, class of 2019
## Record status
- **NPPES last updated:** May 12, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1033678305) · Data from the CMS NPPES public registry.