SUNNY PARK MD, INC
NPI 1174943377
Otolaryngology - Facial Plastic Surgery in Newport Beach, CA
About Sunny Park Md, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUNNY PARK MD, INC (NPI 1174943377) is a healthcare organization registered as a facial plastic surgery in Newport Beach, California and active in the NPI registry since April 2014. The organization lists Sunny Park, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sunny Park Md, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Sunny Park MD, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 MD, Inc's NPI number?
The NPI number for Sunny Park MD, Inc is 1174943377. It was assigned to this organization in the NPPES registry on April 26, 2014.
Where is Sunny Park MD, Inc located?
Sunny Park MD, Inc is located at 20280 SW Acacia St Ste 130, Newport Beach, CA 92660. The listed phone number is (949) 932-0167.
What is Sunny Park MD, Inc's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.
Is Sunny Park MD, Inc enrolled in Medicare?
Yes. Sunny Park MD, Inc is registered in the Medicare PECOS enrollment system.
When is Sunny Park MD, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Sunny Park MD, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Sunny Park MD, Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Sunny Park MD, Inc was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Sunny Park Md, Inc · NPI 1174943377
Facial Plastic Surgery organization in Newport Beach, California. Organization record, active in the CMS NPPES registry since April 26, 2014.
## Identity
- **NPI:** 1174943377 (Entity type: Organization)
- **Enumerated:** April 26, 2014
- **Primary specialty:** Otolaryngology - Facial Plastic Surgery · taxonomy 207YS0123X
- **Organization subpart:** No
- **Authorized official:** Sunny Park, CEO
## Practice location
- **Address:** 20280 SW ACACIA ST STE 130, Newport Beach, CA 92660-0782
- **Phone:** (949) 932-0167
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Otolaryngology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174943377) · Data from the CMS NPPES public registry.