DAI PARK M.D.
NPI 1376744896
Allergy & Immunology in Modesto, CA

Q: What is Dai Park's NPI number?

The NPI number for Dai Park is 1376744896. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Q: What is Dai Park's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Q: When was this NPI record last updated?

The NPPES record for Dai Park was last updated on December 22, 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 May 31, 2007PECOS EnrolledAccepts Medicare Assignment

600 COFFEE RD, MODESTO, CA 95355(209) 521-6097 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dai Park M.d. NPPES

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

DAI PARK M.D. (NPI 1376744896) is an individual allergy & immunology provider in Modesto, California, licensed in California (A101619) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2006).

NPPES Registry Identity

NPI1376744896

Entity TypeIndividualFemale

Primary Taxonomy207K00000X

Provider Legal NameDAI PARKCredential: M.D.

Location Address600 COFFEE RDModesto, CA 95355-4201

Mailing Address600 Coffee RdModesto, CA 95355-4201 · (209) 521-6097

Phone(209) 521-6097

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2006

Enumeration DateMay 31, 2007

Last NPPES UpdateDecember 22, 2021

✔ NPI 1376744896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

License✔ Licensed in CA · A101619

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Also ListedInternal MedicineTaxonomy 207R00000X · License 45278 (TN), A101619 (CA)

600 COFFEE RD, Modesto, CA 95355

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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

Dai Park M.d. 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 ID2163563875

PECOS Enrollment IDI20120820000301

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 Dai Park reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baz Allergy, Asthma & Sinus Center, Inc.

1.3 mi

Allergy

1923 COFFEE ROAD, 12C
Modesto, CA 95355

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

NPI 1265812119 (209) 409-8454

Permanente Medical Group Inc

31 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

Sutter Bay Medical Foundation

67 mi

Multi-Specialty

795 EL CAMINO REAL
Palo Alto, CA 94301

Reassigned Medicare billing, California enrollment
4,479 clinicians in this Medicare group

NPI 1013950807 (650) 321-4121

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 2

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

37 services29 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

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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