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

Active since November 20, 2006PECOS Enrolled
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 02, 2026.

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.

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
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 (PECOS)

Dr. Hans Park Md 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.

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 enrollment system.

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.