LISA YOENSIL YOON PARK FNP-C
NPI 1447866132
Nurse Practitioner - Family in Chino Hills, CA

Q: What is Lisa Park's NPI number?

The NPI number for Lisa Park is 1447866132. It was assigned to this individual provider in the NPPES registry on September 18, 2020.

Q: What is Lisa Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Park was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 18, 2020PECOS EnrolledAccepts Medicare Assignment

15855 POMONA RINCON RD, CHINO HILLS, CA 91709(909) 264-8666 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 16, 2023, May 29, 2023, May 10, 2022 and 1 more (4 updates tracked since 2020).

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About Lisa Yoensil Yoon Park Fnp-c NPPES

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

LISA YOENSIL YOON PARK FNP-C (NPI 1447866132) is an individual family provider in Chino Hills, California, licensed in California (95015462) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Ana, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1447866132

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA YOENSIL YOON PARKCredential: FNP-C

Location Address15855 POMONA RINCON RDChino Hills, CA 91709-5572

Mailing Address15855 Pomona Rincon RdChino Hills, CA 91709-5572 · (909) 264-8666

Phone(909) 264-8666

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 18, 2020

Last NPPES UpdateOctober 16, 20234 updates tracked since enumeration

NPPES CertifiedOctober 16, 2023

✔ NPI 1447866132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95015462

15855 POMONA RINCON RD, Chino Hills, CA 91709

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Secondary Practice Location 1

Location 12212 E 4th StSanta Ana, CA 92705-3870 · Phone (714) 628-3242

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

Lisa Yoensil Yoon Park Fnp-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 ID5698152338

PECOS Enrollment IDI20220518000737

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 Lisa Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Medical Foundation

8.8 mi

General Practice

1514 VALLEY VISTA DR
Diamond Bar, CA 91765

Reassigned Medicare billing, California enrollment
1,699 clinicians in this Medicare group

NPI 1285890624 (909) 860-1144

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 7

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.

167 services159 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

60 services30 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

39 services37 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

37 services36 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

21 services21 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91709 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 5

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

KAREN KAY GRAGASIN ALFONSO M.D.

Pediatrics