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STEPHEN PARK M.D.
NPI 1124050505
Internal Medicine - Pulmonary Disease in Daly City, CA

Active since July 07, 2006PECOS Enrolled
1900 SULLIVAN AVE, DALY CITY, CA 94015(650) 991-0600(650) 991-0306 Get Directions Write a Review

NPPES record last updated: March 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephen Park M.d. NPPES

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

STEPHEN PARK M.D. (NPI 1124050505) is an individual pulmonary disease provider in Daly City, California, licensed in California (G55543) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124050505
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSTEPHEN PARKCredential: M.D.
Location Address1900 SULLIVAN AVEDaly City, CA 94015-2200
Mailing Address418 Virginia AveSan Mateo, CA 94402-2236 · (650) 455-4937
Phone(650) 991-0600
Fax(650) 991-0306
Sole ProprietorYes
Enumeration DateJuly 7, 2006
Last NPPES UpdateMarch 24, 2015
✔ NPI 1124050505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CA · G55543
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1900 SULLIVAN AVE, Daly City, CA 94015
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Other Identifiers 1

Medicare UPINA52976CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

HUI MING YANG MD
Internal Medicine
1900 SULLIVAN AVE, LOWER LEVEL
DALY CITY, CA 94015
San Mateo County (415) 680-4135
AHMC SETON MEDICAL CENTER LLC
General Acute Care Hospital
1900 SULLIVAN AVE
DALY CITY, CA 94015
San Mateo County (650) 992-4000
DR. MARY FINNEGAN M.D.
Emergency Medicine
1900 SULLIVAN AVE
DALY CITY, CA 94015
San Mateo County (650) 992-4000
NORTHERN CALIFORNIA RADIATION THERAPISTS & ONCOLOGISTS MEDICAL GROUP
Radiology (Radiation Oncology)
1900 SULLIVAN AVE, RADIATION ONCOLOGY DEPT
DALY CITY, CA 94015
San Mateo County (209) 342-2300
DR. CARLO JERICHO S MAGTIBAY MD
Internal Medicine
1900 SULLIVAN AVE, LOWER LEVEL
DALY CITY, CA 94015
San Mateo County (415) 680-4135
SETON EMERGENCY PHYSICIANS INC
Emergency Medicine
1900 SULLIVAN AVE
DALY CITY, CA 94015
San Mateo County (650) 992-4000
ADELE MAKOW M.D
Emergency Medicine
1900 SULLIVAN AVE
DALY CITY, CA 94015
San Mateo County (415) 992-4000
TERESITA ARDONA ENRIQUEZ FNP
Nurse Practitioner (Family)
1900 SULLIVAN AVE
DALY CITY, CA 94015
San Mateo County (650) 992-4000

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 Stephen Park's NPI number?

The NPI number for Stephen Park is 1124050505. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Stephen Park located?

Stephen Park practices at 1900 Sullivan Ave, Daly City, CA 94015. The listed phone number is (650) 991-0600.

What is Stephen Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Stephen Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stephen Park was last updated on March 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.