TIFFANY YUMI YANASE PARK OD
NPI 1194212894
Optometrist in Loma Linda, CA

Q: What is Tiffany Yanase Park's NPI number?

The NPI number for Tiffany Yanase Park is 1194212894. It was assigned to this individual provider in the NPPES registry on April 18, 2018.

Q: What is Tiffany Yanase Park's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since April 18, 2018PECOS Enrolled

11370 ANDERSON ST STE 1800, LOMA LINDA, CA 92354(909) 558-2154(909) 558-2180 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2020, Aug 6, 2020, Feb 24, 2020 and 3 more (6 updates tracked since 2018).

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About Tiffany Yumi Yanase Park Od NPPES

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

TIFFANY YUMI YANASE PARK OD (NPI 1194212894) is an individual optometrist in Loma Linda, California, licensed in California (34091) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Anaheim.

NPPES Registry Identity

NPI1194212894

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameTIFFANY YUMI YANASE PARKCredential: OD

Location Address11370 ANDERSON ST STE 1800Loma Linda, CA 92354-3450

Mailing Address11370 Anderson St Ste 1800Loma Linda, CA 92354-3450 · (909) 558-2154

Phone(909) 558-2154

Fax(909) 558-2180

Sole ProprietorNo

Enumeration DateApril 18, 2018

Last NPPES UpdateSeptember 2, 20206 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2020

✔ NPI 1194212894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in CA · 34091✔ Licensed in CO · 0003393

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 0003393 (CO)

11370 ANDERSON ST STE 1800, Loma Linda, CA 92354

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Secondary Practice Location 1

Location 15460 E La Palma AveAnaheim, CA 92807-2023 · Phone (714) 463-7532 · Fax (714) 992-7850

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Yumi Yanase Park Od 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.

Medicare Billing Reassignments

Medicare enrollment records show Tiffany Yanase Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faculty Physicians And Surgeons Of Llusm

Same address

Neurological Surgery

11370 ANDERSON ST, SUITE 2600
Loma Linda, CA 92354

Reassigned Medicare billing, California enrollment
2,584 clinicians in this Medicare group

NPI 1194775122 (909) 558-2055

Marshall B. Ketchum University

33 mi

Multi-Specialty

5460 E LA PALMA AVE
Anaheim, CA 92807

Reassigned Medicare billing, California enrollment
131 clinicians in this Medicare group

NPI 1174037493 (714) 463-7500

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 92354 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NARMIEN MURDOCK MD

Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)