SUE ANN PARK MD
NPI 1538176201
Pediatrics in Vista, CA

Q: What is Sue Ann Park's NPI number?

The NPI number for Sue Ann Park is 1538176201. It was assigned to this individual provider in the NPPES registry on August 2, 2006. The provider is also known as Sue Ann Lee.

Q: What is Sue Ann Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sue Ann Park was last updated on May 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 August 02, 2006PECOS Enrolled

1000 VALE TERRACE DR, VISTA, CA 92084(760) 631-5000(760) 414-3892 Get Directions Write a Review

NPPES record last updated: May 4, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Sue Ann Park Md NPPES

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

SUE ANN PARK MD (NPI 1538176201) is an individual pediatrics provider in Vista, California, licensed in California (A64003) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538176201

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSUE ANN PARKCredential: MD

Location Address1000 VALE TERRACE DRVista, CA 92084-5218

Mailing Address1000 Vale Terrace DrVista, CA 92084-5218 · (760) 631-5000 · Fax (760) 414-3892

Phone(760) 631-5000

Fax(760) 414-3892

Sole ProprietorNo

Enumeration DateAugust 2, 2006

Last NPPES UpdateMay 4, 2009

✔ NPI 1538176201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A64003

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.

1000 VALE TERRACE DR, Vista, CA 92084

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Other Names 1

Former Name (1)Sue Ann Lee

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sue Ann Park Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92084 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.

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.

CHRISTINE DOUGHERTY LCSW

Social Worker (Clinical)