JUDITH J. PARK MD
NPI 1205908019
Surgery in Richmond, CA
About Judith J. Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUDITH J. PARK MD (NPI 1205908019) is an individual surgery provider in Richmond, California, licensed in California (A67521) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (1994).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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
Judith J. 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94801 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 20
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 Judith Park's NPI number?
The NPI number for Judith Park is 1205908019. It was assigned to this individual provider in the NPPES registry on November 15, 2006. The provider is also known as Judith Park Blevins.
Where is Judith Park located?
Judith Park practices at 901 Nevin Ave, Richmond, CA 94801. The listed phone number is (510) 307-1500.
What is Judith Park's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Judith Park enrolled in Medicare?
Yes. Judith 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 Judith Park was last updated on January 6, 2022. 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.
# Judith J. Park, MD · NPI 1205908019
Surgery physician in Richmond, California. Individual provider, active in the CMS NPPES registry since November 15, 2006.
## Identity
- **NPI:** 1205908019 (Entity type: Individual)
- **Enumerated:** November 15, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** A67521 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 901 NEVIN AVE, Richmond, CA 94801-3143
- **Phone:** (510) 307-1500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Tufts University School Of Medicine, class of 1994
## Record status
- **NPPES last updated:** January 6, 2022
- **Other identifiers:** Medicaid 00A675210 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1205908019) · Data from the CMS NPPES public registry.