MR. ANDREW PARK
NPI 1124489836
Marriage & Family Therapist in Santa Ana, CA

Q: What is Andrew Park's NPI number?

The NPI number for Andrew Park is 1124489836. It was assigned to this individual provider in the NPPES registry on March 9, 2016.

Q: What is Andrew Park's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Park was last updated on March 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since March 09, 2016PECOS Enrolled

1910 N BUSH ST, SANTA ANA, CA 92706(714) 361-7950(714) 361-7966 Get Directions Write a Review

NPPES record last updated: March 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Andrew Park NPPES

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

MR. ANDREW PARK (NPI 1124489836) is an individual marriage & family therapist in Santa Ana, California, licensed in California (LMFT90876) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1124489836

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. ANDREW PARK

Location Address1910 N BUSH STSanta Ana, CA 92706-2816

Mailing Address1910 N Bush StSanta Ana, CA 92706-2816 · (714) 361-7950 · Fax (714) 361-7966

Phone(714) 361-7950

Fax(714) 361-7966

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 9, 2016

✔ NPI 1124489836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · LMFT90876

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1910 N BUSH ST, Santa Ana, CA 92706

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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)

Mr. Andrew Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204270481

PECOS Enrollment IDI20260105001296

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.

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.

NICOLE CASTRO

Counselor (Mental Health)