1. Home
  2. Directory
  3. California
  4. Cathedral City
  5. Dentist
  6. NPI Profile

DR. JOOYOEL PARK
NPI 1306979638
Dentist in Cathedral City, CA

Active since March 14, 2007PECOS Enrolled
69160 RAMON RD., SUITE #100, CATHEDRAL CITY, CA 92234(760) 969-5469(760) 770-0280 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jooyoel Park NPPES

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

DR. JOOYOEL PARK (NPI 1306979638) is an individual dentist in Cathedral City, California, licensed in California (55530) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306979638
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOOYOEL PARK
Location Address69160 RAMON RD., SUITE #100Cathedral City, CA 92234-3343
Mailing Address256 S Hobart Blvd, Apt #10Los Angeles, CA 90004-5248 · (760) 969-5469 · Fax (714) 571-3560
Phone(760) 969-5469
Fax(760) 770-0280
Sole ProprietorNo
Enumeration DateMarch 14, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1306979638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 55530
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
69160 RAMON RD., Cathedral City, CA 92234
Open in Google Maps ↗

Other Identifiers 1

MedicaidD55530CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jooyoel Park 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.

Medicare Billing Reassignment

Medicare enrollment records show Jooyoel Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jooyoelpark DDS Inc
106 mi
Dentist
204 N PACIFIC AVE
San Pedro, CA 90731
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Joo Yoel Park DDS Inc
NPI 1609215284 (310) 832-8800

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 92234 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jooyoel Park's NPI number?

The NPI number for Jooyoel Park is 1306979638. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Jooyoel Park located?

Jooyoel Park practices at 69160 Ramon Rd. Suite #100, Cathedral City, CA 92234. The listed phone number is (760) 969-5469.

What is Jooyoel Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jooyoel Park enrolled in Medicare?

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

Which organization bills Medicare for Jooyoel Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jooyoel Park reassigns Medicare benefits to Jooyoelpark DDS Inc (San Pedro, 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 Jooyoel Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jooyoel Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jooyoel Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jooyoel Park was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.