1. Home
  2. Directory
  3. California
  4. Diamond Bar
  5. Marriage Family Therapist
  6. NPI Profile

ANGELA PARK
NPI 1104447341
Marriage & Family Therapist in Diamond Bar, CA

Active since April 28, 2020PECOS Enrolled
324 S DIAMOND BAR BLVD # 1001, DIAMOND BAR, CA 91765(626) 424-3667 Get Directions Write a Review

NPPES record last updated: December 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2025, Jul 28, 2023, Sep 13, 2022 (3 updates tracked since 2022).

About Angela Park NPPES

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

ANGELA PARK (NPI 1104447341) is an individual marriage & family therapist in Diamond Bar, California, licensed in California (159514) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104447341
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameANGELA PARK
Location Address324 S DIAMOND BAR BLVD # 1001Diamond Bar, CA 91765-1607
Mailing Address324 S Diamond Bar Blvd # 1001Diamond Bar, CA 91765-1607
Phone(626) 424-3667
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 28, 2020
Last NPPES UpdateDecember 13, 20253 updates tracked since enumeration
NPPES CertifiedDecember 13, 2025
✔ NPI 1104447341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 159514
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
324 S DIAMOND BAR BLVD # 1001, Diamond Bar, CA 91765
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5193291904
PECOS Enrollment IDI20260420001372
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.

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 Angela Park's NPI number?

The NPI number for Angela Park is 1104447341. It was assigned to this individual provider in the NPPES registry on April 28, 2020.

Where is Angela Park located?

Angela Park practices at 324 S Diamond Bar Blvd # 1001, Diamond Bar, CA 91765. The listed phone number is (626) 424-3667.

What is Angela Park's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Angela Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Angela Park was last updated on December 13, 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.