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PATRICK T. PARK M D INC
NPI 1083854293
Specialist in Los Angeles, CA

Active since February 27, 2009
266 S HARVARD BLVD STE 320, LOS ANGELES, CA 90004(213) 739-1025(213) 739-9936 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Patrick T. Park M D Inc NPPES

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

PATRICK T. PARK M D INC (NPI 1083854293) is a healthcare organization registered as a specialist in Los Angeles, California and active in the NPI registry since February 2009. The organization lists Helen H Park, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083854293
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePATRICK T. PARK M D INC
Location Address266 S HARVARD BLVD STE 320Los Angeles, CA 90004-4373
Mailing Address266 S Harvard Blvd Ste 320Los Angeles, CA 90004-4373 · (213) 739-1025 · Fax (213) 739-9936
Phone(213) 739-1025
Fax(213) 739-9936
Organization SubpartNo
Authorized OfficialHelen H ParkOffice Manager · (213) 739-1025
Enumeration DateFebruary 27, 2009
Last NPPES UpdateDecember 6, 2022
NPPES CertifiedDecember 6, 2022
✔ NPI 1083854293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G76980
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
266 S HARVARD BLVD STE 320, Los Angeles, CA 90004
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Other Identifiers 1

Medicaid00G769800CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick T. Park M D Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Patrick T. Park M D Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Patrick Park, M.D.
Obstetrics/Gynecology
NPI 1215975594
266 S HARVARD BLVD 320
Los Angeles, CA 90004
(213) 739-1025
✔ PECOS✔ Accepts Medicare0.5 mi

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

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 Patrick T. Park M D Inc's NPI number?

The NPI number for Patrick T. Park M D Inc is 1083854293. It was assigned to this organization in the NPPES registry on February 27, 2009.

Where is Patrick T. Park M D Inc located?

Patrick T. Park M D Inc is located at 266 S Harvard Blvd Ste 320, Los Angeles, CA 90004. The listed phone number is (213) 739-1025.

What is Patrick T. Park M D Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Patrick T. Park M D Inc enrolled in Medicare?

Yes. Patrick T. Park M D Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Patrick T. Park M D Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Patrick T. Park M D Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Patrick T. Park M D Inc was last updated on December 6, 2022. 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.