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DR. SUNG PARK M.D.
NPI 1396741518
Obstetrics & Gynecology in Paradise, CA

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
6283 CLARK RD, STE 5, PARADISE, CA 95969(530) 877-5083(530) 877-5085 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sung Park M.d. NPPES

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

DR. SUNG PARK M.D. (NPI 1396741518) is an individual obstetrics & gynecology provider in Paradise, California, licensed in California (A62508) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1995).

NPPES Registry Identity

NPI1396741518
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. SUNG PARKCredential: M.D.
Location Address6283 CLARK RD, STE 5Paradise, CA 95969-4100
Mailing Address6283 Clark Rd, Ste 5Paradise, CA 95969-4100 · (530) 877-5083 · Fax (530) 877-5085
Phone(530) 877-5083
Fax(530) 877-5085
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1995
Enumeration DateJune 22, 2005
Last NPPES UpdateDecember 2, 2021
✔ NPI 1396741518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A62508
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
6283 CLARK RD, Paradise, CA 95969
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Other Identifiers 2

OtherP00170570Medicare Railroad #
Medicaid00A625080CA

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. Sung 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 ID6507849288
PECOS Enrollment IDI20040616000445
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 Reassignment

Medicare enrollment records show Sung Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
332 mi
Health Maintenance Organization
9100 ROSEDALE HWY
Bakersfield, CA 93312
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1982863783 (California)
  • 5,228 clinicians in this Medicare group
NPI 1316572753 (877) 608-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95969 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 13

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

DAVID J GAJDA, MD, A PROFESSIONAL CORPORATION
Clinic/Center (Ambulatory Surgical)
6283 CLARK RD, #11
PARADISE, CA 95969
Butte County (530) 877-2020
DR. DEAN ALAN HADLEY MD
Urology
6283 CLARK RD, STE 3
PARADISE, CA 95969
Butte County (530) 872-0220
JENNIFER L ENSMINGER M.D.
Ophthalmology
6283 CLARK RD, SUITE #10
PARADISE, CA 95969
Butte County (530) 877-2020
PARADISE SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
6283 CLARK RD, SUITE 11
PARADISE, CA 95969
Butte County (530) 514-8282
RICHARD D ZUMWALT
Dermatology
6283 CLARK RD, #9
PARADISE, CA 95969
Butte County (530) 872-0617
MR. PER ARNE DOVRE MD
Obstetrics & Gynecology
6283 CLARK RD, SUITE 8
PARADISE, CA 95969
Butte County (530) 872-2229
DR. BROCK CUMMINGS MD
Orthopaedic Surgery
6283 CLARK RD, STE 15
PARADISE, CA 95969
Butte County (530) 876-0410
NORTH STATE RADIOLOGY MEDICAL GROUP INC
Radiology (Diagnostic Radiology)
6283 CLARK RD, SUITE #4
PARADISE, CA 95969
Butte County (530) 898-0504

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 Sung Park's NPI number?

The NPI number for Sung Park is 1396741518. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Sung Park located?

Sung Park practices at 6283 Clark Rd Ste 5, Paradise, CA 95969. The listed phone number is (530) 877-5083.

What is Sung Park's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sung Park enrolled in Medicare?

Yes. Sung 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 organization bills Medicare for Sung Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sung Park reassigns Medicare benefits to Southern California Permanente Medical Group (Bakersfield, CA). The 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 Sung 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 Sung Park was last updated on December 2, 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.