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JI AH PARK
NPI 1336703941
Family Medicine in Long Beach, CA

Active since April 29, 2019PECOS EnrolledAccepts Medicare Assignment
3325 PALO VERDE AVE STE 105, LONG BEACH, CA 90808(562) 434-7777 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2024, Nov 10, 2023, Jul 8, 2021 and 2 more (5 updates tracked since 2019).

About Ji Ah Park NPPES

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

JI AH PARK (NPI 1336703941) is an individual family medicine provider in Long Beach, California, licensed in California (PA58548) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1336703941
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJI AH PARK
Location Address3325 PALO VERDE AVE STE 105Long Beach, CA 90808-4132
Mailing Address3325 Palo Verde Ave Ste 105Long Beach, CA 90808-4132
Phone(562) 434-7777
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 29, 2019
Last NPPES UpdateJuly 18, 20245 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
✔ NPI 1336703941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · PA58548
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3325 PALO VERDE AVE STE 105, Long Beach, CA 90808
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ji Ah Park 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 ID648672907
PECOS Enrollment IDI20210708002011
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90808 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Ji Ah Park's NPI number?

The NPI number for Ji Ah Park is 1336703941. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Where is Ji Ah Park located?

Ji Ah Park practices at 3325 Palo Verde Ave Ste 105, Long Beach, CA 90808. The listed phone number is (562) 434-7777.

What is Ji Ah Park's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ji Ah Park enrolled in Medicare?

Yes. Ji Ah 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.

When was this NPI record last updated?

The NPPES record for Ji Ah Park was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.