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LYDIA SUNYOUNG PARK PA-C
NPI 1366228314
Physician Assistant in Los Angeles, CA

Active since September 06, 2023PECOS Enrolled
325 E 7TH ST, LOS ANGELES, CA 90014(213) 893-1960(858) 633-4700 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lydia Sunyoung Park Pa-c NPPES

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

LYDIA SUNYOUNG PARK PA-C (NPI 1366228314) is an individual physician assistant in Los Angeles, California, licensed in California (63268) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366228314
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLYDIA SUNYOUNG PARKCredential: PA-C
Location Address325 E 7TH STLos Angeles, CA 90014-2209
Mailing Address325 E 7th StLos Angeles, CA 90014-2209 · (213) 893-1960 · Fax (858) 633-4700
Phone(213) 893-1960
Fax(858) 633-4700
Sole ProprietorYes
Enumeration DateSeptember 6, 2023
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1366228314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 63268
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
325 E 7TH ST, Los Angeles, CA 90014
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydia Sunyoung Park Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90014 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRISCILLA LUI M.D.
Family Medicine
325 E 7TH ST
LOS ANGELES, CA 90014
Los Angeles County (323) 268-8391
CHRISTINE SOOJIN CHONG PA-C
Physician Assistant
325 E 7TH ST
LOS ANGELES, CA 90014
Los Angeles County (818) 669-1104
YANET CARINA GONZALEZ
Marriage & Family Therapist
325 E 7TH ST
LOS ANGELES, CA 90014
Los Angeles County (213) 893-1960
TATYANA BASULTO PA-C
Physician Assistant
325 E 7TH ST
LOS ANGELES, CA 90014
Los Angeles County (213) 893-1960
TINISHA SPENCER LCSW
Social Worker
325 E 7TH ST
LOS ANGELES, CA 90014
Los Angeles County (213) 893-1960
CHRISTIANNA FINN NP
Nurse Practitioner (Adult Health)
325 E 7TH ST
LOS ANGELES, CA 90014
Los Angeles County (213) 893-1960
MR. HARRY LE
Physician Assistant
325 E 7TH ST
LOS ANGELES, CA 90014
Los Angeles County (213) 893-1960
DR. NEVILLE CHU D.P.T.
Physical Medicine & Rehabilitation (Sports Medicine)
325 E 7TH ST
LOS ANGELES, CA 90014
Los Angeles County (213) 893-1960

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 Lydia Park's NPI number?

The NPI number for Lydia Park is 1366228314. It was assigned to this individual provider in the NPPES registry on September 6, 2023.

Where is Lydia Park located?

Lydia Park practices at 325 E 7th St, Los Angeles, CA 90014. The listed phone number is (213) 893-1960.

What is Lydia Park's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lydia Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lydia Park was last updated on May 28, 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.