DR. SUZAN PARK DDS
NPI 1376775767
Dentist - General Practice in Oakland, CA

Q: What is Suzan Park's NPI number?

The NPI number for Suzan Park is 1376775767. It was assigned to this individual provider in the NPPES registry on August 18, 2009.

Q: What is Suzan Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Suzan Park was last updated on October 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 August 18, 2009PECOS Enrolled

1411 E 31ST ST, OAKLAND, CA 94602(510) 437-4101 Get Directions Write a Review

NPPES record last updated: October 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Suzan Park Dds NPPES

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

DR. SUZAN PARK DDS (NPI 1376775767) is an individual general practice provider in Oakland, California, licensed in California (57046) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376775767

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SUZAN PARKCredential: DDS

Location Address1411 E 31ST STOakland, CA 94602-1018

Mailing Address1411 E 31st StOakland, CA 94602-1018

Phone(510) 437-4101

Sole ProprietorNo

Enumeration DateAugust 18, 2009

Last NPPES UpdateOctober 17, 2015

✔ NPI 1376775767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 57046

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1411 E 31ST ST, Oakland, CA 94602

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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)

Dr. Suzan Park Dds 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 94602 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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 20

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

MS. YVONNE DIANE ESCARSEGA MSW

Social Worker (Clinical)

1411 E 31ST ST
OAKLAND, CA 94602

Alameda County (510) 437-4373

MR. JUAN CASILLAS JR. NP

Nurse Practitioner (Family)

1411 E 31ST ST
OAKLAND, CA 94602

Alameda County (510) 437-4800

SADHANA SAMANT MD

Obstetrics & Gynecology

1411 E 31ST ST, OAKCARE MEDICAL GROUP
OAKLAND, CA 94602

Alameda County (510) 437-4323

PATRICIA SCOTT MEYER PA

Clinical Nurse Specialist (Emergency)

1411 E 31ST ST
OAKLAND, CA 94602

Alameda County (209) 342-2300

NATHALIE BALOGUN MSW MPH

Social Worker (Clinical)

1411 E 31ST ST, ALAMEDA COUNTY MEDICAL CENTER - MEDICAL SOCAL WORK SRVC
OAKLAND, CA 94602

Alameda County (510) 437-4949

CYNTHIA MARIE ROWDEN RN

Registered Nurse (Ambulatory Care)

1411 E 31ST ST
OAKLAND, CA 94602

Alameda County (510) 437-4373

DR. KAYLA ENRIQUEZ MD

Emergency Medicine

1411 E 31ST ST
OAKLAND, CA 94602

Alameda County (510) 437-4564

DR. CHERYL LIN PARK M.D.

Surgery

1411 E 31ST ST
OAKLAND, CA 94602

Alameda County (510) 437-4743

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 Suzan Park's NPI number?

The NPI number for Suzan Park is 1376775767. It was assigned to this individual provider in the NPPES registry on August 18, 2009.

Where is Suzan Park located?

Suzan Park practices at 1411 E 31st St, Oakland, CA 94602. The listed phone number is (510) 437-4101.

What is Suzan Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Suzan Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Suzan Park was last updated on October 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.