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

Q: 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..

Q: What is Hee Chan Park's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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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