Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

YU RI PARK
NPI 1558281972
Nurse Practitioner - Psychiatric/Mental Health in Gardena, CA

Q: What is Yu Ri Park's NPI number?

The NPI number for Yu Ri Park is 1558281972. It was assigned to this individual provider in the NPPES registry on July 16, 2026.

Q: What is Yu Ri Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Yu Ri Park was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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 July 16, 2026PECOS Enrolled

1225 W 190TH ST STE 280, GARDENA, CA 90248(714) 702-0595 Get Directions Write a Review

NPPES record added: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 3, 2026, Jul 16, 2026 (2 updates tracked since 2026).

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About Yu Ri Park NPPES

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

YU RI PARK (NPI 1558281972) is an individual psychiatric/mental health provider in Gardena, California, licensed in California (95038282) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558281972

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameYU RI PARK

Location Address1225 W 190TH ST STE 280Gardena, CA 90248-4305

Mailing Address1225 W 190th St Ste 280Gardena, CA 90248-4305 · (714) 702-0595

Phone(714) 702-0595

Sole ProprietorNo

Enumeration DateJuly 16, 2026

Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2026

✔ NPI 1558281972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95038282

1225 W 190TH ST STE 280, Gardena, CA 90248

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yu Ri Park 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 90248 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

DR. JUAN CRISTOBAL RONDEAU MD

Psychiatry & Neurology (Psychiatry)