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DR. JUNG MOK PARK M.D.
NPI 1508872243
Obstetrics & Gynecology in Downey, CA

Active since August 01, 2006PECOS Enrolled
11480 BROOKSHIRE AVE, SUITE 204, DOWNEY, CA 90241(562) 862-2775(562) 904-8095 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jung Mok Park M.d. NPPES

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

DR. JUNG MOK PARK M.D. (NPI 1508872243) is an individual obstetrics & gynecology provider in Downey, California, licensed in California (52223) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508872243
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JUNG MOK PARKCredential: M.D.
Location Address11480 BROOKSHIRE AVE, SUITE 204Downey, CA 90241-5026
Mailing Address75 Remittance Dr, Dept 6008Chicago, IL 60675-6008 · (562) 282-1419 · Fax (562) 920-4642
Phone(562) 862-2775
Fax(562) 904-8095
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateSeptember 21, 2016
✔ NPI 1508872243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in CA · 52223✔ Licensed in CA · A52223
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.
11480 BROOKSHIRE AVE, Downey, CA 90241
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Other Identifiers 6

Medicare UPING24931CA
Other00A522230CA · Blue Shield
Other160055247CA · Railroad Medicare
Medicaid00A522230CA
Other160055247CA · Medicare Railroad
Medicare PINWA52223CCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jung Mok Park M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Jung Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pih Health Physicians
Same address
Surgery
11480 BROOKSHIRE AVE STE 111&204
Downey, CA 90241
  • Reassigned Medicare billing, California enrollment
  • 840 clinicians in this Medicare group
NPI 1255713566 (562) 904-1651
Pioneer Medical Group Inc.
4.4 mi
Multi-Specialty
10251 ARTESIA BLVD
Bellflower, CA 90706
  • Reassigned Medicare billing, California enrollment
  • 45 clinicians in this Medicare group
NPI 1548303589 (562) 229-9452

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 90241 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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.

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. VINOD D PATEL M.D.
Internal Medicine
11480 BROOKSHIRE AVE, SUITE #204
DOWNEY, CA 90241
Los Angeles County (562) 862-2775
FRISCHER MEDICAL GROUP
Internal Medicine (Gastroenterology)
11480 BROOKSHIRE AVE, 200
DOWNEY, CA 90241
Los Angeles County (562) 806-0874
THE ONCOLOGY INSTITUTE OF HOPE AND INNOVATION
Internal Medicine (Hematology & Oncology)
11480 BROOKSHIRE AVE, SUITE 309
DOWNEY, CA 90241
Los Angeles County (562) 869-1201
DR. MICHAEL SHAOYI FANG M.D.
Internal Medicine (Nephrology)
11480 BROOKSHIRE AVE, STE 302
DOWNEY, CA 90241
Los Angeles County (626) 337-2265
LAUREN RAE GILLAN PA-C
Physician Assistant
11480 BROOKSHIRE AVE, SUITE 309
DOWNEY, CA 90241
Los Angeles County (562) 869-1201
NEIL E KLEIN MD A MEDICAL CORPORATION
Surgery (Plastic and Reconstructive Surgery)
11480 BROOKSHIRE AVE, SUITE 306
DOWNEY, CA 90241
Los Angeles County (562) 861-8246
JANESSA JAMES CREADO NP
Nurse Practitioner (Family)
11480 BROOKSHIRE AVE, SUITE 308
DOWNEY, CA 90241
Los Angeles County (562) 862-3656
RITA ROY M.D.
Pediatrics
11480 BROOKSHIRE AVE, SUITE 105
DOWNEY, CA 90241
Los Angeles County (562) 622-1100

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 Jung Park's NPI number?

The NPI number for Jung Park is 1508872243. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Jung Park located?

Jung Park practices at 11480 Brookshire Ave Suite 204, Downey, CA 90241. The listed phone number is (562) 862-2775.

What is Jung Park's specialty?

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

Is Jung Park enrolled in Medicare?

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

Which organizations bill Medicare for Jung Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jung Park reassigns Medicare benefits to 2 organizations: Pih Health Physicians (Downey, CA) and Pioneer Medical Group Inc. (Bellflower, 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 Jung 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 Jung Park was last updated on September 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.