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DR. HEE CHAN PARK M.D.
NPI 1043656416
Pediatrics in Loma Linda, CA

Active since May 13, 2013PECOS Enrolled
25845 BARTON RD, LOMA LINDA, CA 92354(909) 558-2828 Get Directions Write a Review

NPPES record last updated: August 1, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Hee Chan Park M.d. NPPES

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

DR. HEE CHAN PARK M.D. (NPI 1043656416) is an individual pediatrics provider in Loma Linda, California, licensed in California (134803) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043656416
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. HEE CHAN PARKCredential: M.D.
Location Address25845 BARTON RDLoma Linda, CA 92354-3899
Mailing Address54701 File NumberLos Angeles, CA 90074-4701 · (909) 651-4300
Phone(909) 558-2828
Sole ProprietorNo
Enumeration DateMay 13, 2013
Last NPPES UpdateAugust 1, 2016
✔ NPI 1043656416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 134803
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
25845 BARTON RD, Loma Linda, CA 92354
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Other Names 1

Other Name (5)Dr. Henry Heechan Park M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hee Chan Park M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Hee Chan Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faculty Physicians And Surgeons Of Llusm
Same address
Pediatrics
25845 BARTON ROAD, STE. F
Loma Linda, CA 92354
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1275583007 (909) 558-2828
Sac Health System
4.2 mi
Federally Qualified Health Center (FQHC)
1454 E 2ND ST
San Bernardino, CA 92408
  • Reassigned Medicare billing, California enrollment
  • 455 clinicians in this Medicare group
NPI 1013935915 (909) 382-7100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 20

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

NICOLE LAUREN POPE MD
Pediatrics
25845 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2828
JANESSA ANN CHARLES-MARCEL MD
Pediatrics
25845 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2828
WILSON GLENN THOMAS MD
Pediatrics
25845 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2828
MICHAEL MIN
Pediatrics
25845 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2828
ANDREW BYUNG-MIN YOO
Pediatrics
25845 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2828
LAUREN ELISABETH ORONA M.D.
Pediatrics
25845 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2828
DR. TRACY ANNE GOULD D.O.
Pediatrics
25845 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2828
DR. VANI KRISHNA
Pediatrics
25845 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2828

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 Hee Chan Park's NPI number?

The NPI number for Hee Chan Park is 1043656416. It was assigned to this individual provider in the NPPES registry on May 13, 2013. The provider is also known as Dr. Henry Heechan Park M.D..

Where is Hee Chan Park located?

Hee Chan Park practices at 25845 Barton Rd, Loma Linda, CA 92354. The listed phone number is (909) 558-2828.

What is Hee Chan Park's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Hee Chan Park enrolled in Medicare?

Yes. Hee Chan Park is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Hee Chan Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hee Chan Park reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA) and Sac Health System (San Bernardino, 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 Hee Chan Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Hee Chan Park was last updated on August 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.