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RAYMOND PARK D.O,
NPI 1174970560
Family Medicine - Adult Medicine in Los Angeles, CA

Active since May 16, 2016PECOS EnrolledAccepts Medicare Assignment
4733 W SUNSET BLVD, 3RD FLOOR, LOS ANGELES, CA 90027(323) 783-1338 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2021, May 16, 2016 (2 updates tracked since 2016).

About Raymond Park D.o, NPPES

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

RAYMOND PARK D.O, (NPI 1174970560) is an individual adult medicine provider in Los Angeles, California, licensed in California (8XGL620) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1174970560
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameRAYMOND PARKCredential: D.O,
Location Address4733 W SUNSET BLVD, 3RD FLOORLos Angeles, CA 90027-6021
Mailing Address4733 W Sunset Blvd, 3rd FloorLos Angeles, CA 90027-6021
Phone(323) 783-1338
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 16, 2016
Last NPPES UpdateMarch 13, 20242 updates tracked since enumeration
NPPES CertifiedMarch 13, 2024
✔ NPI 1174970560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in CA · 8XGL620
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
4733 W SUNSET BLVD, Los Angeles, CA 90027
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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 and accepts Medicare assignment

Raymond Park D.o, 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.

PECOS PAC ID3577826270
PECOS Enrollment IDI20180411000455
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 90027 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

YUH-JER SHEN MD
Internal Medicine (Cardiovascular Disease)
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
ADRIAN D. MIREA MD
Psychiatry & Neurology (Psychiatry)
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
TERRE J WATSON OD
Optometrist
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
BRUNO J. LEWIN MD
Family Medicine
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
MICHAEL S. FAN MD
Internal Medicine
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
ARNOLD BARRON MD
Ophthalmology
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
NAITIVICTOR L ONG PA
Physician Assistant
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
CYNTHIA L PLEHN CRNA
Nurse Anesthetist, Certified Registered
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011

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 Raymond Park's NPI number?

The NPI number for Raymond Park is 1174970560. It was assigned to this individual provider in the NPPES registry on May 16, 2016.

Where is Raymond Park located?

Raymond Park practices at 4733 W Sunset Blvd 3rd Floor, Los Angeles, CA 90027. The listed phone number is (323) 783-1338.

What is Raymond Park's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Raymond Park enrolled in Medicare?

Yes. Raymond 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.

When was this NPI record last updated?

The NPPES record for Raymond Park was last updated on March 13, 2024. 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.