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DR. NINA J PARK MD
NPI 1205903614
Internal Medicine in Sylmar, CA

Active since November 29, 2006PECOS Enrolled
14445 OLIVE VIEW DR, MEDICAL ADMINISTRATION, 2C138, SYLMAR, CA 91342(818) 364-1555 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nina J Park Md NPPES

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

DR. NINA J PARK MD (NPI 1205903614) is an individual internal medicine provider in Sylmar, California, licensed in California (G081621) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205903614
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. NINA J PARKCredential: MD
Location Address14445 OLIVE VIEW DR, MEDICAL ADMINISTRATION, 2C138Sylmar, CA 91342-1437
Mailing Address14445 Olive View Dr, Medical Administration, 2c138Sylmar, CA 91342-1437
Phone(818) 364-1555
Sole ProprietorYes
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205903614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G081621
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
14445 OLIVE VIEW DR, Sylmar, CA 91342
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nina J Park Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91342 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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.

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.

COUNTY OF LOS ANGELES AUDITOR CONTROLLER
General Acute Care Hospital
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (818) 364-1555
DENNIS POON
Nurse Practitioner (Family)
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (747) 210-3000
SERENA KE MD
Student in an Organized Health Care Education/Training Program
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (747) 210-3205
DR. PAUL I LIU M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
14445 OLIVE VIEW DR, ROOM 1A116
SYLMAR, CA 91342
Los Angeles County (818) 364-4033
DR. ARTHUR JENG M.D.
Internal Medicine (Infectious Disease)
14445 OLIVE VIEW DR, 2B182
SYLMAR, CA 91342
Los Angeles County (818) 364-3205
MRS. CECILIA CORONADO PTA
Physical Therapy Assistant
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (747) 210-4245
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
General Acute Care Hospital
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (818) 364-1555
MR. ANDRIY A KUZNETSOV PT
Physical Therapist
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (818) 364-4245

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 Nina Park's NPI number?

The NPI number for Nina Park is 1205903614. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Nina Park located?

Nina Park practices at 14445 Olive View Dr Medical Administration, 2c138, Sylmar, CA 91342. The listed phone number is (818) 364-1555.

What is Nina Park's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nina Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nina Park was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.