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EUN KYUNG PARK GNP
NPI 1194226936
Nurse Practitioner - Gerontology in Burbank, CA

Active since February 27, 2018PECOS Enrolled
209 W ALAMEDA AVE STE 101, BURBANK, CA 91502(866) 227-3310 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 16, 2018, Feb 27, 2018 (2 updates tracked since 2018).

About Eun Kyung Park Gnp NPPES

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

EUN KYUNG PARK GNP (NPI 1194226936) is an individual gerontology provider in Burbank, California, licensed in California (95007780) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194226936
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameEUN KYUNG PARKCredential: GNP
Location Address209 W ALAMEDA AVE STE 101Burbank, CA 91502-3023
Mailing Address320 S Ardmore Ave Apt 234Los Angeles, CA 90020-3162 · (213) 458-0703
Phone(866) 227-3310
Sole ProprietorNo
Enumeration DateFebruary 27, 2018
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1194226936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in CA · 95007780
209 W ALAMEDA AVE STE 101, Burbank, CA 91502
Open in Google Maps ↗

Other Identifiers 1

Other95007780CA · California Board Of Nursing

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eun Kyung Park Gnp 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

2

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

Integrated Allied Medical Group
0.7 mi
Family Medicine
313 E PROVIDENCIA AVE APT F
Burbank, CA 91502
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
NPI 1649970740 (323) 528-2781
New Heights Medical Group
1.1 mi
Family Medicine
303 N GLENOAKS BLVD STE 200
Burbank, CA 91502
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1215501077 (323) 388-6398

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 91502 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.

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 Eun Park's NPI number?

The NPI number for Eun Park is 1194226936. It was assigned to this individual provider in the NPPES registry on February 27, 2018.

Where is Eun Park located?

Eun Park practices at 209 W Alameda Ave Ste 101, Burbank, CA 91502. The listed phone number is (866) 227-3310.

What is Eun Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Eun Park enrolled in Medicare?

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

Which organizations bill Medicare for Eun Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eun Park reassigns Medicare benefits to 2 organizations: Integrated Allied Medical Group (Burbank, CA) and New Heights Medical Group (Burbank, CA). Each 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 Eun 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 Eun Park was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.