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MR. SUNG JIN PARK PA-C
NPI 1093457194
Physician Assistant in Hollister, CA

Active since April 09, 2022PECOS EnrolledAccepts Medicare Assignment
1000 FAIRVIEW RD, HOLLISTER, CA 95023(714) 545-5550(949) 609-0374 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 2, 2025, Oct 19, 2023, Apr 9, 2022 (3 updates tracked since 2022).

About Mr. Sung Jin Park Pa-c NPPES

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

MR. SUNG JIN PARK PA-C (NPI 1093457194) is an individual physician assistant in Hollister, California, licensed in California (60815) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093457194
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SUNG JIN PARKCredential: PA-C
Location Address1000 FAIRVIEW RDHollister, CA 95023-9644
Mailing Address2160 Barranca Pkwy # 1018Irvine, CA 92606-4940 · (949) 939-6780
Phone(714) 545-5550
Fax(949) 609-0374
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 9, 2022
Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1093457194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 60815
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1000 FAIRVIEW RD, Hollister, CA 95023
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Mr. Sung Jin Park Pa-c 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.

PECOS PAC ID5597143990
PECOS Enrollment IDI20220525001603
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 95023 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
$107.20 typical visit price
range $70.72 – $207.37
Typical copayment $26.80 (range $17.68 – $51.84)
Most-billed visit code 99203
Established Patient
$86.98 typical visit price
range $24.01 – $170.46
Typical copayment $21.74 (range $6.00 – $42.61)
Most-billed visit code 99213
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 2

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

BRIGHT FUTURE RECOVERY INC.
Substance Abuse Rehabilitation Facility
1000 FAIRVIEW RD
HOLLISTER, CA 95023
San Benito County (831) 245-7736
CHEREE DAVILA RAS, CADC-CAS
Counselor (Addiction (Substance Use Disorder))
1000 FAIRVIEW RD
HOLLISTER, CA 95023
San Benito County (831) 245-7736

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 Sung Park's NPI number?

The NPI number for Sung Park is 1093457194. It was assigned to this individual provider in the NPPES registry on April 9, 2022.

Where is Sung Park located?

Sung Park practices at 1000 Fairview Rd, Hollister, CA 95023. The listed phone number is (714) 545-5550.

What is Sung Park's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sung Park enrolled in Medicare?

Yes. Sung 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.

What insurance does Sung Park accept?

Health plans from Providence Health Plan list Sung 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 Sung Park was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.