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GRACE JINNA PARK M.D.
NPI 1124461850
Anesthesiology in Duarte, CA

Active since April 11, 2013PECOS Enrolled
99.12/100
CMS Quality Rating
1500 DUARTE RD, DUARTE, CA 91010(626) 256-4673 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 19, 2020, Jul 28, 2017 (2 updates tracked since 2017).

About Grace Jinna Park M.d. NPPES

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

GRACE JINNA PARK M.D. (NPI 1124461850) is an individual anesthesiology provider in Duarte, California, licensed in California (A134704) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124461850
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameGRACE JINNA PARKCredential: M.D.
Location Address1500 DUARTE RDDuarte, CA 91010-3012
Mailing AddressPo Box 512185Los Angeles, CA 90051-0185
Phone(626) 256-4673
Sole ProprietorNo
Enumeration DateApril 11, 2013
Last NPPES UpdateNovember 19, 20202 updates tracked since enumeration
NPPES CertifiedNovember 19, 2020
✔ NPI 1124461850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · A134704
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1500 DUARTE RD, Duarte, CA 91010
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Jinna 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.

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 Grace Park's NPI number?

The NPI number for Grace Park is 1124461850. It was assigned to this individual provider in the NPPES registry on April 11, 2013.

Where is Grace Park located?

Grace Park practices at 1500 Duarte Rd, Duarte, CA 91010. The listed phone number is (626) 256-4673.

What is Grace Park's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Grace Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Grace 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.