DR. PETER H PARK M.D,
NPI 1225076516
Specialist in Los Angeles, CA
About Dr. Peter H Park M.d, NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PETER H PARK M.D, (NPI 1225076516) is an individual specialist in Los Angeles, California, licensed in California (G67513) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 7, 2027, and is a graduate of Loma Linda University School Of Medicine (1986).
NPPES Registry Identity
Specialties & Licenses
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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. Peter H Park M.d, 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.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2125515
Peter H Park, M.D., Inc. · Los Angeles, CAAreas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225076516, enumerated as an "individual" on June 02, 2006.
The provider is located at 3456 W. OLYMPIC BLVD. 101 LOS ANGELES, CA 90019 and the phone number is (213) 386-3450.
Specialist with taxonomy code 174400000X.