1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Family Medicine
  6. NPI Profile

DR. CAROLINE PARK MD PHD
NPI 1396270989
Family Medicine - Geriatric Medicine in Los Angeles, CA

Active since April 21, 2017PECOS EnrolledAccepts Medicare Assignment
1520 SAN PABLO ST STE 1300, LOS ANGELES, CA 90033(323) 442-5900 Get Directions Write a Review

NPPES record last updated: September 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 15, 2024, Jul 13, 2017, Apr 21, 2017 (3 updates tracked since 2017).

About Dr. Caroline Park Md Phd NPPES

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

DR. CAROLINE PARK MD PHD (NPI 1396270989) is an individual geriatric medicine provider in Los Angeles, California, licensed in California (A170021) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2017).

NPPES Registry Identity

NPI1396270989
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameDR. CAROLINE PARKCredential: MD PHD
Location Address1520 SAN PABLO ST STE 1300Los Angeles, CA 90033-5312
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-5900
Phone(323) 442-5900
Sole ProprietorYes
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2017
Enumeration DateApril 21, 2017
Last NPPES UpdateSeptember 15, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2024
✔ NPI 1396270989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in CA · A170021
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
1520 SAN PABLO ST STE 1300, Los Angeles, CA 90033
Open in Google Maps ↗

Other Identifiers 1

Other390200000XNY · Mount Sinai Beth Israel

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

Dr. Caroline Park Md Phd 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 ID840536157
PECOS Enrollment IDI20240212001458
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

3

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

Usc Care Medical Group, Inc
Same address
General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group
NPI 1902846306 (323) 442-5955
Gap Post-Acute Care Services
16 mi
Family Medicine
11750 WETHERBY LN
Los Angeles, CA 90077
  • Reassigned Medicare billing, California enrollment
  • 22 clinicians in this Medicare group
NPI 1194538264 (310) 597-9705
County Of Santa Clara
278 mi
Federally Qualified Health Center (FQHC)
7475 CAMINO ARROYO
Gilroy, CA 95020
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1629301346 (California), NPI 1588721500 (California)
  • 2,460 clinicians in this Medicare group
NPI 1922093533 (408) 885-5000

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 4

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services30 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 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.
18 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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. OLYMPIA ALEXANDRA KABOBEL D.O. M.P.H
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5900
ROMINA SIFUENTES PALOMINO M.D.
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5900
PATTY P. PINANONG MD
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5900
WEI HSUAN WANG MD
Student in an Organized Health Care Education/Training Program
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5900
DR. LILY RYZHKOVA M.D.
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5900
JESSLYN GONZALEZ MD
Student in an Organized Health Care Education/Training Program
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (800) 872-2273
RONALD PAUL OLSON MD
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5900
KATIA LEE MARGARET CNOP DO
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5900

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 Caroline Park's NPI number?

The NPI number for Caroline Park is 1396270989. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Where is Caroline Park located?

Caroline Park practices at 1520 San Pablo St Ste 1300, Los Angeles, CA 90033. The listed phone number is (323) 442-5900.

What is Caroline Park's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Caroline Park enrolled in Medicare?

Yes. Caroline 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.

Which organizations bill Medicare for Caroline Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Park reassigns Medicare benefits to 3 organizations: Usc Care Medical Group, Inc (Los Angeles, CA), Gap Post-Acute Care Services (Los Angeles, CA) and County Of Santa Clara (Gilroy, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caroline Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Caroline Park was last updated on September 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.