ANTHONY J PARK MD
NPI 1265751697
Urology in Riverside, CA
About Anthony J Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTHONY J PARK MD (NPI 1265751697) is an individual urology provider in Riverside, California, licensed in California (A135983) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (2010).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Anthony 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.
Medicare Billing Reassignment
Medicare enrollment records show Anthony Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Riverside, CA 92505
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1952333460 (California)
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92505 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.
RIVERSIDE, CA 92505
RIVERSIDE, CA 92505
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 Anthony Park's NPI number?
The NPI number for Anthony Park is 1265751697. It was assigned to this individual provider in the NPPES registry on May 25, 2010.
Where is Anthony Park located?
Anthony Park practices at 10800 Magnolia Ave Mob 2, 2nd Floor, Riverside, CA 92505. The listed phone number is (866) 984-7483.
What is Anthony Park's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Anthony Park enrolled in Medicare?
Yes. Anthony 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.
Which organization bills Medicare for Anthony Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Park reassigns Medicare benefits to Southern California Permanente Medical Group (Riverside, CA). The 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 Anthony Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Anthony Park was last updated on November 29, 2021. 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.
# Anthony J Park, MD · NPI 1265751697
Urology physician in Riverside, California. Individual provider, active in the CMS NPPES registry since May 25, 2010.
## Identity
- **NPI:** 1265751697 (Entity type: Individual)
- **Enumerated:** May 25, 2010
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** A135983 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10800 MAGNOLIA AVE, MOB 2, 2ND FLOOR, Riverside, CA 92505-3043
- **Phone:** (866) 984-7483
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1316979834, Riverside, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In New Orleans, class of 2010
## Record status
- **NPPES last updated:** November 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1265751697) · Data from the CMS NPPES public registry.