JI YEON PARK DO
NPI 1295189850
Internal Medicine in Colton, CA

Q: What is Ji Yeon Park's NPI number?

The NPI number for Ji Yeon Park is 1295189850. It was assigned to this individual provider in the NPPES registry on April 20, 2016. The provider is also known as Jan Park Do.

Q: What is Ji Yeon Park's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Ji Yeon Park was last updated on December 10, 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.

Active since April 20, 2016PECOS EnrolledAccepts Medicare Assignment

400 N PEPPER AVE, COLTON, CA 92324(909) 580-6266 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2021, Dec 3, 2020, Mar 7, 2019 (3 updates tracked since 2019).

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About Ji Yeon Park Do NPPES

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

JI YEON PARK DO (NPI 1295189850) is an individual internal medicine provider in Colton, California, licensed in California (20A16572) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Orange, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1295189850

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameJI YEON PARKCredential: DO

Location Address400 N PEPPER AVEColton, CA 92324-1801

Mailing Address400 N Pepper AveColton, CA 92324-1801

Phone(909) 580-6266

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 20, 2016

Last NPPES UpdateDecember 10, 20213 updates tracked since enumeration

NPPES CertifiedDecember 10, 2021

✔ NPI 1295189850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · 20A16572

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

400 N PEPPER AVE, Colton, CA 92324

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Other Names 1

Other Name (5)Jan Park Do

Secondary Practice Location 1

Location 11100 W Stewart DrOrange, CA 92868-3849 · Phone (714) 628-3136

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

Ji Yeon Park Do 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 ID244562213

PECOS Enrollment IDI20191023002651

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.

Medicare Billing Reassignments

Medicare enrollment records show Ji Yeon Park reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Quantum Healthcare Medical Associates Inc.

0.2 mi

Hospitalist

400 N PEPPER AVE
Colton, CA 92324

Reassigned Medicare billing, California enrollment
338 clinicians in this Medicare group

NPI 1568490597 (909) 580-1000

Providence Medical Foundation

28 mi

Urology

19333 BEAR VALLEY RD, SUITE 106
Apple Valley, CA 92308

Reassigned Medicare billing, California enrollment
1,699 clinicians in this Medicare group

NPI 1053616706 (760) 240-5505

Clinic Services Of California Medical Group Inc

355 mi

Emergency Medicine

1235 W VINE ST, SUITE 20
Lodi, CA 95240

Reassigned Medicare billing, California enrollment
148 clinicians in this Medicare group

NPI 1578958450 (925) 924-1600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

377 services167 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

149 services145 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

120 services116 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

103 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92324 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier22 claims22 services$13.48 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier32 claims32 services$60.63 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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