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CANDACE Y PARK NP-C
NPI 1558709444
Nurse Practitioner - Family in West Covina, CA

Active since June 13, 2013PECOS Enrolled
301 N AZUSA AVE, WEST COVINA, CA 91791(626) 214-2600 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Candace Y Park Np-c NPPES

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

CANDACE Y PARK NP-C (NPI 1558709444) is an individual family provider in West Covina, California, licensed in California (23700) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558709444
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCANDACE Y PARKCredential: NP-C
Location Address301 N AZUSA AVEWest Covina, CA 91791-1346
Mailing Address301 N Azusa AveWest Covina, CA 91791-1346 · (626) 214-2600
Phone(626) 214-2600
Sole ProprietorYes
Enumeration DateJune 13, 2013
Last NPPES UpdateAugust 8, 2023
NPPES CertifiedAugust 8, 2023
✔ NPI 1558709444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 23700
301 N AZUSA AVE, West Covina, CA 91791
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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)

Candace Y Park Np-c 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 91791 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

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

MRS. WEMIMO FEYISAYO OLAGBAJU NP
Nurse Practitioner (Family)
301 N AZUSA AVE
WEST COVINA, CA 91791
Los Angeles County (562) 359-6782

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 Candace Park's NPI number?

The NPI number for Candace Park is 1558709444. It was assigned to this individual provider in the NPPES registry on June 13, 2013.

Where is Candace Park located?

Candace Park practices at 301 N Azusa Ave, West Covina, CA 91791. The listed phone number is (626) 214-2600.

What is Candace Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Candace Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Candace Park was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.