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DR. PETER H PARK M.D,
NPI 1225076516
Specialist in Los Angeles, CA

Active since June 02, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2125515 · Waiver
30/100
CMS Quality Rating
3456 W. OLYMPIC BLVD., 101, LOS ANGELES, CA 90019(213) 386-3450(213) 386-3457 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1225076516
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. PETER H PARKCredential: M.D,
Location Address3456 W. OLYMPIC BLVD., 101Los Angeles, CA 90019-2124
Mailing Address3456 W. Olympic Blvd., 101Los Angeles, CA 90019-2124 · (213) 386-3450 · Fax (213) 386-3457
Phone(213) 386-3450
Fax(213) 386-3457
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1986
Enumeration DateJune 2, 2006
Last NPPES UpdateDecember 13, 2022
NPPES CertifiedDecember 13, 2022
✔ NPI 1225076516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G67513
Definition
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.
3456 W. OLYMPIC BLVD., Los Angeles, CA 90019
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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 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.

PECOS PAC ID2769420090
PECOS Enrollment IDI20090526000142
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.

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, CA
Active · expires Feb 7, 2027
CLIA Number05D2125515
Laboratory TypePhysician Office
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorPeter H. Park
Laboratory Phone(323) 840-3960
Laboratory LocationPeter H Park, M.D., Inc.3456 W Olympic Blvd, Ste 101, Los Angeles, CA 90019
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
490 services219 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
456 services207 patients
Smear for infectious agents 87210
A smear for infectious agents is a simple test done to identify harmful microorganisms in your body. A sample is taken from your body, spread thinly onto a slide, and examined under a microscope. This helps in diagnosing various infections and diseases.
311 services172 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
107 services107 patients
Biopsy of lining of uterus and/or removal of polyp using an endoscope 58558
This procedure involves using a thin, flexible tool (endoscope) to examine and possibly remove a small tissue sample from the inner layer of your uterus. It may also involve removing a growth. It helps to identify any issues and plan the right treatment.
106 services105 patients
Diagnostic exam of uterus using an endoscope 58555
This procedure involves using a thin tube with a light and camera, called an endoscope, to view the inside of your lower abdominal area. It helps doctors identify any issues you may be experiencing. It's a safe, routine examination.
104 services95 patients

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.

30/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost100

Other Providers at the Same Location NPPES

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

PETER H PARK MD INC
Specialist
3456 W. OLYMPIC BLVD., 101
LOS ANGELES, CA 90019
Los Angeles County (213) 386-3450

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 Peter Park's NPI number?

The NPI number for Peter Park is 1225076516. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Peter Park located?

Peter Park practices at 3456 W. Olympic Blvd. 101, Los Angeles, CA 90019. The listed phone number is (213) 386-3450.

What is Peter Park's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Peter Park enrolled in Medicare?

Yes. Peter 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.

Does Peter Park hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2125515) is associated with this NPI, valid through February 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peter Park was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.