SUSAN JUNG PARK NPI 1114253515

Family Medicine in Fountain Valley, CA

NPI 1114253515 Individual Female Family Medicine

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 Address11420 WARNER AVE FOUNTAIN VALLEY, CA 92708
Provider Mailing Address2742 DOW AVE TUSTIN, CA 92780
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date10-20-2009
Last Update Date05-19-2010


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.77563
License StateCA
Taxonomy DescriptionFamily 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

Get Directions


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.
1114253515
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
212445652
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 = 55

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
1205826849DR. ARFA BABAKNIA MD
Individual
Family Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 579-1300
1891785234DR. JULIE S FALLON MD
Individual
Pediatrics11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1518957794DR. DAVID M DUNCKEL MD
Individual
Family Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1568453637DR. BRANDON B KHAW MD
Individual
Internal Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1619968799DR. ALTON P FORAN IV
Individual
Internal Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1598756090DR. JO LIEBERMAN PAN MD
Individual
Family Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1376534628DR. LUCY E SUWARSA MD
Individual
Family Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1407847619DR. TIMOTHY E MCDONALD MD
Individual
Family Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1619958527DR. MICHAEL F OZAKI MD
Individual
Pediatrics11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1548242555MS. MICHELE COOPER NP
Individual
Nurse Practitioner11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1891777462MR. STEVEN LERNER PA
Individual
Physician Assistant11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1689621260BRISTOL PARK MEDICAL GROUP, INC
Organization
Family Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1326072612DR. KELVIN MAI DO
Individual
Internal Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1841303260 GINA POSNER MD
Individual
Pediatrics11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1003010950DR. KRISTINE SUZANNE OLSON ARTHUR MD
Individual
Internal Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1194044271MISS CINDY H LEE RN, BSN, MSN, FNP
Individual
Nurse Practitioner (Family)11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1356423396DR. KIM ANH TRINH M.D.
Individual
Internal Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1033175658 KIEN-AN DUONG MD
Individual
Internal Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1730593666DR. JULIE MALHOTRA BALAN M.D.
Individual
Family Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
1578547782MR. FIDEL ANDRADE PA
Individual
Physician Assistant11420 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.