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RISA PARK DO
NPI 1457092785
Pediatrics in La Mesa, CA

Active since April 01, 2022PECOS Enrolled
5525 GROSSMONT CENTER DR FL 5, LA MESA, CA 91942(858) 499-2600 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Risa Park Do NPPES

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

RISA PARK DO (NPI 1457092785) is an individual pediatrics provider in La Mesa, California, licensed in California (24176) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1457092785
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameRISA PARKCredential: DO
Location Address5525 GROSSMONT CENTER DR FL 5La Mesa, CA 91942-3014
Mailing Address5525 Grossmont Center Dr Fl 5La Mesa, CA 91942-3014 · (860) 679-2147 · Fax (860) 679-4624
Phone(858) 499-2600
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 1, 2022
Last NPPES UpdateAugust 11, 2025
NPPES CertifiedAugust 11, 2025
✔ NPI 1457092785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 24176
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5525 GROSSMONT CENTER DR FL 5, La Mesa, CA 91942
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Risa Park Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628553914
PECOS Enrollment IDI20260403002437
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 Risa Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sharp Rees-Stealy Medical Group, Inc
10 mi
Internal Medicine
5651 COPLEY DR STE A
San Diego, CA 92111
  • Reassigned Medicare billing, California enrollment
  • 1,233 clinicians in this Medicare group
NPI 1285616177 (858) 262-6666

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 91942 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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 Risa Park's NPI number?

The NPI number for Risa Park is 1457092785. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Risa Park located?

Risa Park practices at 5525 Grossmont Center Dr Fl 5, La Mesa, CA 91942. The listed phone number is (858) 499-2600.

What is Risa Park's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Risa Park enrolled in Medicare?

Yes. Risa Park is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Risa Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Risa Park reassigns Medicare benefits to Sharp Rees-Stealy Medical Group, Inc (San Diego, 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 Risa 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 Risa Park was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.