DR. JONATHAN PARK MD
NPI 1205324969
Family Medicine in Jurupa Valley, CA

Active since April 28, 2018PECOS EnrolledAccepts Medicare Assignment
8876 MISSION BLVD, JURUPA VALLEY, CA 92509(951) 360-8795 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2021, Apr 28, 2018 (2 updates tracked since 2018).

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

NPI1205324969
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JONATHAN PARKCredential: MD
Location Address8876 MISSION BLVDJurupa Valley, CA 92509-2811
Mailing Address8876 Mission BlvdJurupa Valley, CA 92509-2811 · (951) 360-8795
Sole ProprietorNo
Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2018
Enumeration DateApril 28, 2018
Last NPPES UpdateJuly 8, 20212 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
NPI 1205324969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A165509
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8876 MISSION BLVD, Jurupa Valley, CA 92509

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. 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.

PECOS PAC ID8123437639
PECOS Enrollment IDI20210513002426
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.

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, OR
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380090
Location1775 Thompson RoadCoos Bay, OR 97420 · Coos County
Emergency services

Southern Coos Hospital & Health Center

Critical Access Hospitals · Bandon, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381304
Location900 11th Street SEBandon, OR 97411 · Coos County
Emergency services

Physician 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.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 12

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

Community Health Worker
8876 MISSION BLVD
RIVERSIDE, CA 92509
Case Manager/Care Coordinator
8876 MISSION BLVD
JURUPA VALLEY, CA 92509
Social Worker (Clinical)
8876 MISSION BLVD
RIVERSIDE, CA 92509
Dietitian, Registered
8876 MISSION BLVD
JURUPA VALLEY, CA 92509
Counselor
8876 MISSION BLVD
RIVERSIDE, CA 92509
Counselor
8876 MISSION BLVD
JURUPA VALLEY, CA 92509
Dietitian, Registered
8876 MISSION BLVD
RIVERSIDE, CA 92509
Specialist/Technologist, Other
8876 MISSION BLVD
JURUPA VALLEY, CA 92509

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.

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.