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CAROLYN PARK DO
NPI 1154907830
Pediatrics in Fresno, CA

Active since March 22, 2021PECOS Enrolled
7300 N FRESNO ST, FRESNO, CA 93720(559) 448-4500 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2024, Mar 22, 2021 (2 updates tracked since 2021).

About Carolyn Park Do NPPES

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

CAROLYN PARK DO (NPI 1154907830) is an individual pediatrics provider in Fresno, California, licensed in California (20A22391) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154907830
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCAROLYN PARKCredential: DO
Location Address7300 N FRESNO STFresno, CA 93720-2941
Mailing Address7300 N Fresno StFresno, CA 93720-2941
Phone(559) 448-4500
Sole ProprietorNo
Enumeration DateMarch 22, 2021
Last NPPES UpdateJuly 14, 20252 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
✔ NPI 1154907830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 20A22391
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
7300 N FRESNO ST, Fresno, CA 93720
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Other Names 1

Other Name (5)Carolyn Kim

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn Park Do 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 93720 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MAULIK SHAH MD
Internal Medicine
7300 N FRESNO ST
FRESNO, CA 93720
Fresno County (559) 448-4555
DR. LYNICE FOU PHARM.D.
Pharmacist
7300 N FRESNO ST
FRESNO, CA 93720
Fresno County (559) 448-3305
DR. JUSTIN LEE MASSENGALE M.D.
Neurological Surgery
7300 N FRESNO ST
FRESNO, CA 93720
Fresno County (559) 448-4000
NILUFER RAJ GOYAL-SHOCKLEY M.D.
Pediatrics
7300 N FRESNO ST
FRESNO, CA 93720
Fresno County (559) 448-4500
HAYDEN WONG
Emergency Medicine
7300 N FRESNO ST
FRESNO, CA 93720
Fresno County (559) 554-6634
KELVIN GIN SUN LEE MD
Allergy & Immunology
7300 N FRESNO ST
FRESNO, CA 93720
Fresno County (559) 448-4500
KEVIN DIPONDO OUMA MD
Internal Medicine
7300 N FRESNO ST
FRESNO, CA 93720
Fresno County (559) 448-4500
WENCHANG GUO
Pathology (Anatomic Pathology & Clinical Pathology)
7300 N FRESNO ST
FRESNO, CA 93720
Fresno County (415) 680-5220

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 Carolyn Park's NPI number?

The NPI number for Carolyn Park is 1154907830. It was assigned to this individual provider in the NPPES registry on March 22, 2021. The provider is also known as Carolyn Kim.

Where is Carolyn Park located?

Carolyn Park practices at 7300 N Fresno St, Fresno, CA 93720. The listed phone number is (559) 448-4500.

What is Carolyn Park's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Carolyn Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Carolyn Park was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.