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DR. JOHN PARK M.D.
NPI 1124155643
Radiology - Vascular & Interventional Radiology in Duarte, CA

Active since February 28, 2007PECOS Enrolled
99.12/100
CMS Quality Rating
1500 DUARTE RD, DUARTE, CA 91010(626) 359-8111 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2020, Mar 8, 2018, Jul 7, 2017 (3 updates tracked since 2017).

About Dr. John Park M.d. NPPES

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

DR. JOHN PARK M.D. (NPI 1124155643) is an individual vascular & interventional radiology provider in Duarte, California, licensed in California (A85814) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124155643
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameDR. JOHN PARKCredential: M.D.
Location Address1500 DUARTE RDDuarte, CA 91010-3012
Mailing AddressPo Box 512185Los Angeles, CA 90051-0185
Phone(626) 359-8111
Sole ProprietorNo
Enumeration DateFebruary 28, 2007
Last NPPES UpdateNovember 19, 20203 updates tracked since enumeration
NPPES CertifiedNovember 19, 2020
✔ NPI 1124155643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in CA · A85814
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
1500 DUARTE RD, Duarte, CA 91010
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A858140CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John 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 91010 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.23
Promoting Interoperability100
Improvement Activities40

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.

SASAN FAZELI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 256-4673
SKAI MINDY FU PHARMD
Pharmacist
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 500-5461
JIMMIE WONG MD
Radiology (Diagnostic Radiology)
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 359-8111
TERENCE WILLIAMS M.D.
Radiology (Radiation Oncology)
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 256-4673
DR. MUSTAFA RAOOF M.D.
Surgery (Surgical Oncology)
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 256-4673
DR. EDNA CLOGG SHENVI M.D.
Surgery
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 256-4673
ALAN CHEN TANG M.D.
Anesthesiology
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 359-8111
WINSTON YUHSIEN LEE MD, PHD
Pathology (Hematology)
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 256-4673

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 John Park's NPI number?

The NPI number for John Park is 1124155643. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is John Park located?

John Park practices at 1500 Duarte Rd, Duarte, CA 91010. The listed phone number is (626) 359-8111.

What is John Park's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is John Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for John Park was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.