DR. HANS PARK MD
NPI 1386718377
General Practice in Tustin, CA

Q: What is Hans Park's NPI number?

The NPI number for Hans Park is 1386718377. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Q: What is Hans Park's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Hans Park was last updated on February 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 November 20, 2006PECOS EnrolledAccepts Medicare Assignment

3002 DOW AVE, #204, TUSTIN, CA 92780(714) 368-0800(888) 353-6442 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Hans Park Md NPPES

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

DR. HANS PARK MD (NPI 1386718377) is an individual general practice provider in Tustin, California, licensed in California (A92398) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1386718377

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. HANS PARKCredential: MD

Location Address3002 DOW AVE, #204Tustin, CA 92780-7233

Mailing Address3002 Dow Ave, #204Tustin, CA 92780-7233 · (714) 368-0800 · Fax (888) 353-6442

Phone(714) 368-0800

Fax(888) 353-6442

Sole ProprietorYes

Medical School CMSOtherGraduated 2001

Enumeration DateNovember 20, 2006

Last NPPES UpdateFebruary 12, 2020

✔ NPI 1386718377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · A92398

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X · License A92398 (CA)

3002 DOW AVE, Tustin, CA 92780

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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 and accepts Medicare assignment

Dr. Hans Park Md 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 ID1456350529

PECOS Enrollment IDI20260618002915

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.

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.

LIZBETH CIRANDA

Behavior Technician

3002 DOW AVE
TUSTIN, CA 92780

Orange County (949) 328-7688

JACQUELINE LILY JEBAVY

Behavior Technician

3002 DOW AVE, SUITE 122
TUSTIN, CA 92780

Orange County (949) 328-7688

DR. MYRON REIFF M.D.

Family Medicine

3002 DOW AVE, SUITE 204
TUSTIN, CA 92780

Orange County (714) 368-0800

MRS. EVELYN DIVINAGRACIA M.S. CCC-SLP

Speech-Language Pathologist

3002 DOW AVE, 114
TUSTIN, CA 92780

Orange County (714) 731-4668

LAURA ACEVEDO

Behavior Technician

3002 DOW AVE
TUSTIN, CA 92780

Orange County (657) 294-5113

DR. PATRICK ELVIN CLARKE M.D.

Internal Medicine

3002 DOW AVE, SUITE 204
TUSTIN, CA 92780

Orange County (888) 277-0080

TIFFANY HO

Behavior Technician

3002 DOW AVE
TUSTIN, CA 92780

Orange County (657) 294-5113

ANDY PHUNG OTR/L

Occupational Therapist

3002 DOW AVE
TUSTIN, CA 92780

Orange County (714) 731-4668

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 Hans Park's NPI number?

The NPI number for Hans Park is 1386718377. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Hans Park located?

Hans Park practices at 3002 Dow Ave #204, Tustin, CA 92780. The listed phone number is (714) 368-0800.

What is Hans Park's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Hans Park enrolled in Medicare?

Yes. Hans 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 Hans Park was last updated on February 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.