DR. WILSON C PARK D.C.
NPI 1548337587
Chiropractor in Los Angeles, CA

Q: What is Wilson Park's NPI number?

The NPI number for Wilson Park is 1548337587. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Q: What is Wilson Park's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Wilson Park was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 November 28, 2006

2940 WESTWOOD BLVD, SUITE #1, LOS ANGELES, CA 90064(310) 869-0536(310) 441-3727 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Wilson C Park D.c. NPPES

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

DR. WILSON C PARK D.C. (NPI 1548337587) is an individual chiropractor in Los Angeles, California, licensed in California (DC25166) and active in the NPI registry since November 2006. He is a graduate of Cleveland Chiropractic College - Los Angeles (1997).

NPPES Registry Identity

NPI1548337587

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. WILSON C PARKCredential: D.C.

Location Address2940 WESTWOOD BLVD, SUITE #1Los Angeles, CA 90064-4145

Mailing Address2940 Westwood Blvd, Suite #1Los Angeles, CA 90064-4145 · (310) 869-0536 · Fax (310) 441-3727

Phone(310) 869-0536

Fax(310) 441-3727

Sole ProprietorYes

Medical School CMSCleveland Chiropractic College - Los AngelesGraduated 1997

Enumeration DateNovember 28, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1548337587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · DC25166

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2940 WESTWOOD BLVD, Los Angeles, CA 90064

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Other Identifiers 2

Other562422099CA · Tax Id Number

OtherDC251660CA · Blue Shield Of California

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wilson C Park D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527114511

PECOS Enrollment IDI20090916000230

Medicare Billing Reassignment

Medicare enrollment records show Wilson Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wilson C Park Chiropractic Corp

Same address

Chiropractor

2940 WESTWOOD BLVD, #1
Los Angeles, CA 90064

Reassigned Medicare billing, California enrollment

NPI 1427210822 (310) 869-0536

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 2

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.

Chiropractic manipulative treatment, 1-2 spinal regions 98940

Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.

327 services29 patients

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

106 services13 patients

Other Providers at the Same Location NPPES 6

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

DR. EDWARD CHARLES OSTER D.C.

Chiropractor

2940 WESTWOOD BLVD
LOS ANGELES, CA 90064

Los Angeles County (310) 907-6189

DR. MICHAEL VESELY D.C.

Chiropractor

2940 WESTWOOD BLVD, SUITE 5
LOS ANGELES, CA 90064

Los Angeles County (310) 446-6699

JAMES KELLY L.AC.

Acupuncturist

2940 WESTWOOD BLVD, SUITE #1
LOS ANGELES, CA 90064

Los Angeles County (310) 991-1352

WILSON C PARK CHIROPRACTIC CORP

Chiropractor

2940 WESTWOOD BLVD, #1
LOS ANGELES, CA 90064

Los Angeles County (310) 869-0536

DR. BRADY T. CHIN PH.D.

Acupuncturist

2940 WESTWOOD BLVD, SUITE 1
LOS ANGELES, CA 90064

Los Angeles County (310) 621-5550

TRACY K ALBRECHT L.A.C, MTOM

Acupuncturist

2940 WESTWOOD BLVD, SUITE #5
LOS ANGELES, CA 90064

Los Angeles County (310) 779-0633

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 Wilson Park's NPI number?

The NPI number for Wilson Park is 1548337587. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Wilson Park located?

Wilson Park practices at 2940 Westwood Blvd Suite #1, Los Angeles, CA 90064. The listed phone number is (310) 869-0536.

What is Wilson Park's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Wilson Park enrolled in Medicare?

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

Which organization bills Medicare for Wilson Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wilson Park reassigns Medicare benefits to Wilson C Park Chiropractic Corp (Los Angeles, 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 Wilson Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wilson Park accept?

Health plans from Providence Health Plan list Wilson Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wilson Park was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.