JUSTIN JONG-GENE PARK MD
NPI 1255034534
Student in an Organized Health Care Education/Training Program in Irvine, CA

Active since March 24, 2023PECOS Enrolled

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Justin Jong-gene Park Md NPPES

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

JUSTIN JONG-GENE PARK MD (NPI 1255034534) is an individual student in an organized health care education/training program in Irvine, California and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255034534
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN JONG-GENE PARKCredential: MD
Location Address71 HOMELANDIrvine, CA 92618-8801
Mailing Address71 HomelandIrvine, CA 92618-8801
Sole ProprietorNo
Enumeration DateMarch 24, 2023
NPPES CertifiedMarch 24, 2023
NPI 1255034534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
71 HOMELAND, Irvine, CA 92618

Other Names 1

Former Name (1)Jong-gene Park

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Justin Jong-gene 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.

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 Justin Park's NPI number?

The NPI number for Justin Park is 1255034534. It was assigned to this individual provider in the NPPES registry on March 24, 2023. The provider is also known as Jong-Gene Park.

Where is Justin Park located?

Justin Park practices at 71 Homeland, Irvine, CA 92618. The listed phone number is (949) 680-6284.

What is Justin Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Justin Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Justin Park was last updated on March 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.