DR. JONATHAN PARK MD
NPI 1205324969
Family Medicine in Jurupa Valley, CA
About Dr. Jonathan Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JONATHAN PARK MD (NPI 1205324969) is an individual family medicine provider in Jurupa Valley, California, licensed in California (A165509) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Bay Area Hospital, and is a graduate of Oakland Univ, William Beaumont School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jonathan Park Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jonathan Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jurupa Valley, CA 92509
- Reassigned Medicare billing, California enrollment
- 336 clinicians in this Medicare group
Bakersfield, CA 93312
- Reassigned Medicare billing, California enrollment
- 225 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bay Area Hospital
Acute Care Hospitals · Coos Bay, ORSouthern Coos Hospital & Health Center
Critical Access Hospitals · Bandon, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92509 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jonathan Park's NPI number?
The NPI number for Jonathan Park is 1205324969. It was assigned to this individual provider in the NPPES registry on April 28, 2018.
Where is Jonathan Park located?
Jonathan Park practices at 8876 Mission Blvd, Jurupa Valley, CA 92509. The listed phone number is (951) 360-8795.
What is Jonathan Park's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jonathan Park enrolled in Medicare?
Yes. Jonathan 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.
Which organizations bill Medicare for Jonathan Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Park reassigns Medicare benefits to 2 organizations: County Of Riverside (Jurupa Valley, CA) and Emergency Physicians Urgent Care Inc. (Bakersfield, 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 Jonathan Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jonathan Park affiliated with any hospitals?
According to CMS data, Jonathan Park is affiliated with Bay Area Hospital and Southern Coos Hospital & Health Center.
When was this NPI record last updated?
The NPPES record for Jonathan Park was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Jonathan Park, MD · NPI 1205324969
Family Medicine physician in Jurupa Valley, California. Individual provider, active in the CMS NPPES registry since April 28, 2018.
## Identity
- **NPI:** 1205324969 (Entity type: Individual)
- **Enumerated:** April 28, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A165509 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 8876 MISSION BLVD, Jurupa Valley, CA 92509-2811
- **Phone:** (951) 360-8795
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): County Of Riverside (NPI 1871607713, Jurupa Valley, CA); Emergency Physicians Urgent Care Inc. (NPI 1689963845, Bakersfield, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oakland Univ, William Beaumont School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** July 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1205324969) · Data from the CMS NPPES public registry.