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DR. JEAN PARK MD. MPH
NPI 1205098183
Obstetrics & Gynecology in Fontana, CA

Active since July 01, 2008PECOS EnrolledAccepts Medicare Assignment
9985 SIERRA AVE, FONTANA, CA 92335(909) 427-5629 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jean Park Md. Mph NPPES

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

DR. JEAN PARK MD. MPH (NPI 1205098183) is an individual obstetrics & gynecology provider in Fontana, California, licensed in California (A117145) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1205098183
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. JEAN PARKCredential: MD. MPH
Location Address9985 SIERRA AVEFontana, CA 92335-6720
Mailing Address9985 Sierra AveFontana, CA 92335-6720
Phone(909) 427-5629
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 1, 2008
Last NPPES UpdateDecember 6, 2021
✔ NPI 1205098183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in CA · A117145✔ Licensed in IN · 11014577A
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
9985 SIERRA AVE, Fontana, CA 92335
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Other Identifiers 2

Other11014577AIN · State License
OtherA117145CA · California Medical Board

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

Dr. Jean Park Md. Mph 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 ID4981876810
PECOS Enrollment IDI20111018000663
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 92335 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 20

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

NAINESH K. GANDHI MD
Internal Medicine (Cardiovascular Disease)
9985 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (866) 454-3485
DR. PAYMON MESGARZADEH M.D.
Internal Medicine (Cardiovascular Disease)
9985 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-5000
DR. YUJIAN GUO M.D.
Psychiatry & Neurology (Neurology)
9985 SIERRA AVE, MOB-2, BASEMENT
FONTANA, CA 92335
San Bernardino County (909) 427-5000
MANUEL RICARDO MOJICA JR. M.D.
Internal Medicine
9985 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-5000
MR. FRED GADEA III
Physical Therapy Assistant
9985 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-5000
DR. ADEEL HUSAIN M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
9985 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-5000
PATRICIA LOTICH OTR
Occupational Therapist
9985 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-6996
JOHN D TUCKER
Radiology (Diagnostic Radiology)
9985 SIERRA AVE, BLDG. #3, DEPT. OF RADIOLOGY
FONTANA, CA 92335
San Bernardino County (909) 427-7649

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 Jean Park's NPI number?

The NPI number for Jean Park is 1205098183. It was assigned to this individual provider in the NPPES registry on July 1, 2008.

Where is Jean Park located?

Jean Park practices at 9985 Sierra Ave, Fontana, CA 92335. The listed phone number is (909) 427-5629.

What is Jean Park's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jean Park enrolled in Medicare?

Yes. Jean 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 Jean Park was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.