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SUN MIN PARK N.P.
NPI 1376678250
Nurse Practitioner in San Diego, CA

Active since February 22, 2007PECOS Enrolled
3030 CHILDRENS WAY, STE 410, SAN DIEGO, CA 92123(858) 966-6789 Get Directions Write a Review

NPPES record last updated: October 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sun Min Park N.p. NPPES

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

SUN MIN PARK N.P. (NPI 1376678250) is an individual nurse practitioner in San Diego, California, licensed in California (NP20538) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376678250
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUN MIN PARKCredential: N.P.
Location Address3030 CHILDRENS WAY, STE 410San Diego, CA 92123-4232
Mailing Address3860 Calle Fortunada, Ste #210San Diego, CA 92123-4802 · (858) 309-6300 · Fax (858) 309-6291
Phone(858) 966-6789
Sole ProprietorNo
Enumeration DateFebruary 22, 2007
Last NPPES UpdateOctober 30, 2012
✔ NPI 1376678250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · NP20538
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3030 CHILDRENS WAY, San Diego, CA 92123
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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)

Sun Min Park N.p. 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 92123 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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.

DR. STEPHANIE LEONARD MEASURES MD
Allergy & Immunology
3030 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-5961
DR. STEVEN ALEXANDER BUREKHOVICH MD
Orthopaedic Surgery
3030 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-6789
ERIC WILLIAM EDMONDS MD
Orthopaedic Surgery
3030 CHILDRENS WAY, SUITE 410
SAN DIEGO, CA 92123
San Diego County (858) 966-6789
CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF OPTH
Ophthalmology
3030 CHILDRENS WAY, SUITE 109
SAN DIEGO, CA 92123
San Diego County (858) 309-7701
ANGELA LEE CHU M.D.
Pediatrics (Pediatric Gastroenterology)
3030 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-4003
HERBERT CLIFFORD KIMMONS JR. M.D.
Pediatrics
3030 CHILDRENS WAY, SUITE 213
SAN DIEGO, CA 92123
San Diego County (858) 966-8567
PETER OWEN NEWTON M.D.
Orthopaedic Surgery
3030 CHILDRENS WAY, SUITE 410
SAN DIEGO, CA 92123
San Diego County (858) 966-6789
MARYLOU SCOTT CPNP
Nurse Practitioner (Pediatrics)
3030 CHILDRENS WAY, STE 410
SAN DIEGO, CA 92123
San Diego County (858) 966-6789

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 Sun Min Park's NPI number?

The NPI number for Sun Min Park is 1376678250. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Sun Min Park located?

Sun Min Park practices at 3030 Childrens Way Ste 410, San Diego, CA 92123. The listed phone number is (858) 966-6789.

What is Sun Min Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sun Min Park enrolled in Medicare?

Yes. Sun Min Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sun Min Park was last updated on October 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.