PETER SANG-WOOK PARK DPM
NPI 1104825033
Podiatrist - Foot & Ankle Surgery in Downey, CA

Q: What is Peter Park's NPI number?

The NPI number for Peter Park is 1104825033. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Q: What is Peter Park's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Peter Park was last updated on January 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 21, 2005PECOS EnrolledAccepts Medicare Assignment

8311 FLORENCE AVE, DOWNEY, CA 90240(562) 923-4911 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 5, 2026, Sep 29, 2020 (2 updates tracked since 2020).

On this page

About Peter Sang-wook Park Dpm NPPES

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

PETER SANG-WOOK PARK DPM (NPI 1104825033) is an individual foot & ankle surgery provider in Downey, California, licensed in California (E4031) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1104825033

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NamePETER SANG-WOOK PARKCredential: DPM

Location Address8311 FLORENCE AVEDowney, CA 90240-3928

Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203

Phone(562) 923-4911

Sole ProprietorYes

Medical School CMSOtherGraduated 1995

Enumeration DateJuly 21, 2005

Last NPPES UpdateJanuary 5, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2026

✔ NPI 1104825033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in CA · E4031

Also ListedPodiatristTaxonomy 213E00000X · License E4031 (CA)

8311 FLORENCE AVE, Downey, CA 90240

Open in Google Maps ↗

Secondary Practice Locations 2

Location 13130 W Olympic Blvd Ste 170Los Angeles, CA 90006-2648 · Phone (323) 732-7551

Location 21501 W Commonwealth AveFullerton, CA 92833-2727 · Phone (714) 410-3100

Other Identifiers 3

Other00E40310CA · Medi Cal

Other1104825033CA · Npi

OtherCE813ACA · Medicare Ptan

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

Peter Sang-wook Park Dpm 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 ID3971587353

PECOS Enrollment IDI20040614001647

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

76 services36 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

65 services26 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

19 services19 patients

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.

ALBERT S YEUNG MD

Pediatrics