CHRIS J PARK DPM, INC
NPI 1235312935
Clinic/Center - Podiatric in Rowland Heights, CA
About Chris J Park Dpm, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRIS J PARK DPM, INC (NPI 1235312935) is a healthcare organization registered as a podiatric in Rowland Heights, California and active in the NPI registry since December 2007. The organization lists Chris J Park, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chris J Park Dpm, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Chris J Park DPM, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Chris J Park Dpm, Inc's NPI number?
The NPI number for Chris J Park Dpm, Inc is 1235312935. It was assigned to this organization in the NPPES registry on December 17, 2007.
Where is Chris J Park Dpm, Inc located?
Chris J Park Dpm, Inc is located at 18895 Colima Rd Suite A, Rowland Heights, CA 91748. The listed phone number is (626) 913-0948.
What is Chris J Park Dpm, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.
Is Chris J Park Dpm, Inc enrolled in Medicare?
Yes. Chris J Park Dpm, Inc is registered in the Medicare PECOS enrollment system.
When is Chris J Park Dpm, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Physician - Podiatry) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Chris J Park Dpm, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Chris J Park Dpm, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Chris J Park Dpm, Inc was last updated on April 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Chris J Park Dpm, Inc · NPI 1235312935
Podiatric organization in Rowland Heights, California. Organization record, active in the CMS NPPES registry since December 17, 2007.
## Identity
- **NPI:** 1235312935 (Entity type: Organization)
- **Enumerated:** December 17, 2007
- **Primary specialty:** Clinic/Center - Podiatric · taxonomy 261QP1100X
- **Organization subpart:** No
- **Authorized official:** Chris Park, OWNER
## Practice location
- **Address:** 18895 COLIMA RD, SUITE A, Rowland Heights, CA 91748-2978
- **Phone:** (626) 913-0948 · **Fax:** (626) 854-1422
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (DME, California, Physician - Podiatry) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 18, 2008
- **Other identifiers:** Medicaid 000E41680 (CA); Medicare PIN W21890 (CA); Medicare NSC 6032080001; and 1 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1235312935) · Data from the CMS NPPES public registry.