CHRISTINE PARK PA-C
NPI 1417479775
Physician Assistant in Los Angeles, CA

Q: What is Christine Park's NPI number?

The NPI number for Christine Park is 1417479775. It was assigned to this individual provider in the NPPES registry on July 7, 2017.

Q: What is Christine Park's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Christine Park was last updated on November 27, 2023. 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.

Active since July 07, 2017PECOS EnrolledAccepts Medicare Assignment

1450 SAN PABLO ST STE 5100, LOS ANGELES, CA 90033(323) 442-5790 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 31, 2020, Mar 17, 2018, Dec 8, 2017 and 1 more (4 updates tracked since 2017).

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About Christine Park Pa-c NPPES

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

CHRISTINE PARK PA-C (NPI 1417479775) is an individual physician assistant in Los Angeles, California, licensed in California (PA54637) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1417479775

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCHRISTINE PARKCredential: PA-C

Location Address1450 SAN PABLO ST STE 5100Los Angeles, CA 90033-4500

Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-5790

Phone(323) 442-5790

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 7, 2017

Last NPPES UpdateNovember 27, 20234 updates tracked since enumeration

NPPES CertifiedAugust 31, 2020

✔ NPI 1417479775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA54637

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1450 SAN PABLO ST STE 5100, Los Angeles, CA 90033

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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

Christine Park Pa-c 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 ID5496029597

PECOS Enrollment IDI20170927002727

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 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

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheal suction catheter, any type other than closed system, each A4624

DME-Other DME · category DE000N

2 suppliers17 claims994 services$2.51 avg. paid by Medicare

Oropharyngeal suction catheter, each A4628

DME-Other DME · category DE000N

2 suppliers22 claims95 services$3.52 avg. paid by Medicare

Canister, disposable, used with suction pump, each A7000

DME-Other DME · category DE000N

3 suppliers22 claims54 services$7.14 avg. paid by Medicare

Tubing, used with suction pump, each A7002

DME-Other DME · category DE000N

2 suppliers20 claims49 services$3.61 avg. paid by Medicare

Large volume nebulizer, disposable, unfilled, used with aerosol compressor A7007

DME-Other DME · category DE000N

2 suppliers23 claims35 services$2.23 avg. paid by Medicare

Corrugated tubing, disposable, used with large volume nebulizer, 100 feet A7010

DME-Other DME · category DE000N

2 suppliers12 claims12 services$12.98 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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. ROXANA MOAYER MD

Otolaryngology