HYEJIN PARK MA
NPI 1144874546
Psychologist - Clinical in Pasadena, CA
About Hyejin Park Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HYEJIN PARK MA (NPI 1144874546) is an individual clinical provider in Pasadena, California, licensed in California (34682) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Culver City, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Hyejin Park Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Hyejin Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Redlands, CA 92373
- Reassigned Medicare billing, California enrollment
- 25 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 91101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PASADENA, CA 91101
PASADENA, CA 91101
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 Hyejin Park's NPI number?
The NPI number for Hyejin Park is 1144874546. It was assigned to this individual provider in the NPPES registry on July 25, 2019.
Where is Hyejin Park located?
Hyejin Park practices at 180 N Oakland Ave, Pasadena, CA 91101. The listed phone number is (626) 584-5555.
What is Hyejin Park's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Hyejin Park enrolled in Medicare?
Yes. Hyejin Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Hyejin Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hyejin Park reassigns Medicare benefits to Loma Linda University Medical Center (Redlands, 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 Hyejin 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 Hyejin Park was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Hyejin Park, MA · NPI 1144874546
Clinical provider in Pasadena, California. Individual provider, active in the CMS NPPES registry since July 25, 2019.
## Identity
- **NPI:** 1144874546 (Entity type: Individual)
- **Enumerated:** July 25, 2019
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 34682 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 180 N OAKLAND AVE, Pasadena, CA 91101-1714
- **Phone:** (626) 584-5555
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Loma Linda University Medical Center (NPI 1720500457, Redlands, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** November 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1144874546) · Data from the CMS NPPES public registry.