SUSAN JUNG PARK NPI 1114253515
Family Medicine in Fountain Valley, CA
NPI Profile for SUSAN JUNG PARK
Susan Park is a primary care provider established in Fountain Valley, California and her medical specialization is family medicine. The NPI number of Susan Park is 1114253515 and was assigned on October 2009. The practitioner's primary taxonomy code is 207Q00000X with license number 77563 (CA). The provider is registered as an individual and her NPI record was last updated 12 years ago.
A primary care provider (PCP) like Susan Jung Park sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Susan Park is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
| NPI | 1114253515 |
| Provider Name | SUSAN JUNG PARK |
| Provider Location Address | 11420 WARNER AVE FOUNTAIN VALLEY, CA 92708 |
| Provider Mailing Address | 2742 DOW AVE TUSTIN, CA 92780 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | Yes |
| Is Organization Subpart? | N/A |
| Enumeration Date | 10-20-2009 |
| Last Update Date | 05-19-2010 |
Primary Taxonomy
| Taxonomy Code | 207Q00000X |
| Classification | Family Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 77563 |
| License State | CA |
| Taxonomy Description | Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Business Address
SUSAN JUNG PARK
11420 WARNER AVE
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 549-1300
Mailing Address
SUSAN JUNG PARK
2742 DOW AVE
TUSTIN, CA
ZIP 92780
Phone: (714) 665-1600
NPI Validation Check Digit Calculation
The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 2 | 5 | 3 | 5 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 4 | 5 | 6 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 4 + 5 + 6 + 5 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1114253515 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1205826849 | DR. ARFA BABAKNIA MD Individual | Family Medicine | 11420 WARNER AVE FOUNTAIN VALLEY, CA 92708 (714) 579-1300 |
| 1891785234 | DR. JULIE S FALLON MD Individual | Pediatrics | 11420 WARNER AVE FOUNTAIN VALLEY, CA 92708 (714) 549-1300 |
| 1518957794 | DR. DAVID M DUNCKEL MD Individual | Family Medicine | 11420 WARNER AVE FOUNTAIN VALLEY, CA 92708 (714) 549-1300 |
| 1568453637 | DR. BRANDON B KHAW MD Individual | Internal Medicine | 11420 WARNER AVE FOUNTAIN VALLEY, CA 92708 (714) 549-1300 |
| 1619968799 | DR. ALTON P FORAN IV Individual | Internal Medicine | 11420 WARNER AVE FOUNTAIN VALLEY, CA 92708 (714) 549-1300 |
| 1598756090 | DR. JO LIEBERMAN PAN MD Individual | Family Medicine | 11420 WARNER AVE FOUNTAIN VALLEY, CA 92708 (714) 549-1300 |
| 1376534628 | DR. LUCY E SUWARSA MD Individual | Family Medicine | 11420 WARNER AVE FOUNTAIN VALLEY, CA 92708 (714) 549-1300 |
| 1407847619 | DR. TIMOTHY E MCDONALD MD Individual | Family Medicine | 11420 WARNER AVE FOUNTAIN VALLEY, CA 92708 (714) 549-1300 |
| 1619958527 | DR. MICHAEL F OZAKI MD Individual | Pediatrics | 11420 WARNER AVE FOUNTAIN VALLEY, CA 92708 (714) 549-1300 |
| 1548242555 | MS. MICHELE COOPER NP Individual | Nurse Practitioner | 11420 WARNER AVE FOUNTAIN VALLEY, CA 92708 (714) 549-1300 |
| 1891777462 | MR. STEVEN LERNER PA Individual | Physician Assistant | 11420 WARNER AVE FOUNTAIN VALLEY, CA 92708 (714) 549-1300 |
| 1689621260 | BRISTOL PARK MEDICAL GROUP, INC Organization | Family Medicine | 11420 WARNER AVE FOUNTAIN VALLEY, CA 92708 (714) 549-1300 |
| 1326072612 | DR. KELVIN MAI DO Individual | Internal Medicine | 11420 WARNER AVE FOUNTAIN VALLEY, CA 92708 (714) 549-1300 |
| 1841303260 | GINA POSNER MD Individual | Pediatrics | 11420 WARNER AVE FOUNTAIN VALLEY, CA 92708 (714) 549-1300 |
| 1003010950 | DR. KRISTINE SUZANNE OLSON ARTHUR MD Individual | Internal Medicine | 11420 WARNER AVE FOUNTAIN VALLEY, CA 92708 (714) 549-1300 |
| 1194044271 | MISS CINDY H LEE RN, BSN, MSN, FNP Individual | Nurse Practitioner (Family) | 11420 WARNER AVE FOUNTAIN VALLEY, CA 92708 (714) 549-1300 |
| 1356423396 | DR. KIM ANH TRINH M.D. Individual | Internal Medicine | 11420 WARNER AVE FOUNTAIN VALLEY, CA 92708 (714) 549-1300 |
| 1033175658 | KIEN-AN DUONG MD Individual | Internal Medicine | 11420 WARNER AVE FOUNTAIN VALLEY, CA 92708 (714) 549-1300 |
| 1730593666 | DR. JULIE MALHOTRA BALAN M.D. Individual | Family Medicine | 11420 WARNER AVE FOUNTAIN VALLEY, CA 92708 |
| 1578547782 | MR. FIDEL ANDRADE PA Individual | Physician Assistant | 11420 WARNER AVE FOUNTAIN VALLEY, CA 92708 (714) 549-1300 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
Susan Jung Park is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:
- 1 = Person: individual human being who furnishes health care.
- 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.