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MAUREEN R. PARK MD
NPI 1093893737
Obstetrics & Gynecology in Elk Grove, CA

Active since November 01, 2006PECOS Enrolled
9201 BIG HORN BLVD, ELK GROVE, CA 95758(916) 478-5000 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Maureen R. Park Md NPPES

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

MAUREEN R. PARK MD (NPI 1093893737) is an individual obstetrics & gynecology provider in Elk Grove, California, licensed in California (A73877) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093893737
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMAUREEN R. PARKCredential: MD
Location Address9201 BIG HORN BLVDElk Grove, CA 95758-1240
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262
Phone(916) 478-5000
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateDecember 20, 2021
✔ NPI 1093893737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A73877
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
9201 BIG HORN BLVD, Elk Grove, CA 95758
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Other Identifiers 1

Medicaid00A738770CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maureen R. Park Md 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 Reassignment

Medicare enrollment records show Maureen Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
29 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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 95758 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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 20

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

KIMBERLY T JOHNSON LCSW
Social Worker (Clinical)
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Sacramento County (916) 478-5861
DR. JEANNE MARIE TAYLOR DO
Family Medicine
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Sacramento County (916) 478-5100
MORIAH MYLES LMFT 153459
Marriage & Family Therapist
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Sacramento County (916) 478-5878
DR. CHUNG-YIN STANLEY CHAN M.D.
Dermatology
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Sacramento County (916) 478-5660
MARY P MANU
Nurse Practitioner
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Sacramento County (916) 478-5100
JOSE V. SUMAQUIAL MD
Family Medicine
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Sacramento County (916) 478-5000
KRISTIN G LEACH MD
Family Medicine
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Sacramento County (916) 478-5000
ANA LYNN THOM
Registered Nurse (Administrator)
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Sacramento County (916) 478-5786

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 Maureen Park's NPI number?

The NPI number for Maureen Park is 1093893737. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Maureen Park located?

Maureen Park practices at 9201 Big Horn Blvd, Elk Grove, CA 95758. The listed phone number is (916) 478-5000.

What is Maureen Park's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Maureen Park enrolled in Medicare?

Yes. Maureen Park is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maureen Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maureen Park reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Maureen 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 Maureen Park was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.