SUNNY SUNJOO PARK FNP
NPI 1134445745
Nurse Practitioner - Family in Turlock, CA
About Sunny Sunjoo Park Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUNNY SUNJOO PARK FNP (NPI 1134445745) is an individual family provider in Turlock, California, licensed in California (NP19036) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sunny Sunjoo Park Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sunny Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Merced, CA 95340
- Reassigned Medicare billing, California enrollment
- 141 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95382 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Sunny Park's NPI number?
The NPI number for Sunny Park is 1134445745. It was assigned to this individual provider in the NPPES registry on April 8, 2010.
Where is Sunny Park located?
Sunny Park practices at 825 Delbon Ave, Turlock, CA 95382. The listed phone number is (209) 667-4200.
What is Sunny Park's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sunny Park enrolled in Medicare?
Yes. Sunny Park is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sunny Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sunny Park reassigns Medicare benefits to San Joaquin Emergency Medical Associates (Merced, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sunny Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sunny Park was last updated on December 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Sunny Sunjoo Park, FNP · NPI 1134445745
Family physician in Turlock, California. Individual provider, active in the CMS NPPES registry since April 8, 2010.
## Identity
- **NPI:** 1134445745 (Entity type: Individual)
- **Enumerated:** April 8, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP19036 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 825 DELBON AVE, Turlock, CA 95382-2016
- **Phone:** (209) 667-4200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** San Joaquin Emergency Medical Associates (NPI 1588960413, Merced, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 6, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1134445745) · Data from the CMS NPPES public registry.