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JANET PARK SLP
NPI 1104379627
Speech-Language Pathologist in San Jose, CA

Active since August 02, 2016
30 LAS COLINAS LN, SAN JOSE, CA 95119(408) 284-2850 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Janet Park Slp NPPES

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

JANET PARK SLP (NPI 1104379627) is an individual speech-language pathologist provider in San Jose, California, licensed in California (15940) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1104379627
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJANET PARKCredential: SLP
Location Address30 LAS COLINAS LNSan Jose, CA 95119-1212
Mailing AddressPo Box 127Napa, CA 94559-0127 · (707) 255-3300
Phone(408) 284-2850
Sole ProprietorNo
Enumeration DateAugust 2, 2016
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1104379627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CA · 15940
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
30 LAS COLINAS LN, San Jose, CA 95119
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Janet Park Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Permanente Medical Group Inc
14 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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

Other Providers at the Same Location NPPES 10

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

JERILYN SMITH OTR SWC
Occupational Therapist
30 LAS COLINAS LN
SAN JOSE, CA 95119
Santa Clara County (408) 284-2812
AMY NABUKO FUNGE
Physical Therapist
30 LAS COLINAS LN
SAN JOSE, CA 95119
Santa Clara County (408) 284-2812
MADHURI JAGADEESH
Physical Therapist
30 LAS COLINAS LN
SAN JOSE, CA 95119
Santa Clara County (408) 284-2812
JEAN C CHURCH
Physical Therapist
30 LAS COLINAS LN
SAN JOSE, CA 95119
Santa Clara County (408) 284-2812
ALISON HEWITT GEORGE MS, OTR/L
Occupational Therapist
30 LAS COLINAS LN
SAN JOSE, CA 95119
Santa Clara County (408) 284-2812
HOMESTART
Clinic/Center (Physical Therapy)
30 LAS COLINAS LN
SAN JOSE, CA 95119
Santa Clara County (408) 284-2812
JENNIFER LURAYNE SMITH
Occupational Therapist
30 LAS COLINAS LN
SAN JOSE, CA 95119
Santa Clara County (408) 284-2812
KATHRYN J WAHL RD
Dietitian, Registered
30 LAS COLINAS LN
SAN JOSE, CA 95119
Santa Clara County (408) 284-2812

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 Janet Park's NPI number?

The NPI number for Janet Park is 1104379627. It was assigned to this individual provider in the NPPES registry on August 2, 2016.

Where is Janet Park located?

Janet Park practices at 30 Las Colinas Ln, San Jose, CA 95119. The listed phone number is (408) 284-2850.

What is Janet Park's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Janet Park enrolled in Medicare?

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

Which organization bills Medicare for Janet Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janet Park reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Janet 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 Janet Park was last updated on January 3, 2022. 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.