SARA HEEJUNG PARK MD
NPI 1558822908
Anesthesiology in San Diego, CA
About Sara Heejung Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARA HEEJUNG PARK MD (NPI 1558822908) is an individual anesthesiology provider in San Diego, California, licensed in California (A185244) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Lake Granbury Medical Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sara Heejung Park Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Sara Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 269 clinicians in this Medicare group
Fort Worth, TX 76109
- Reassigned Medicare billing, Texas enrollment
- 1,612 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lake Granbury Medical Center
Acute Care Hospitals · Granbury, TXOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sara Park's NPI number?
The NPI number for Sara Park is 1558822908. It was assigned to this individual provider in the NPPES registry on March 28, 2019.
Where is Sara Park located?
Sara Park practices at 3626 Ruffin Rd, San Diego, CA 92123. The listed phone number is (858) 565-9666.
What is Sara Park's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Sara Park enrolled in Medicare?
Yes. Sara Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sara Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sara Park reassigns Medicare benefits to 2 organizations: Anesthesia Service Medical Group (San Diego, CA) and Emergenchealth PLLC (Fort Worth, TX). 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 Sara Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sara Park accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Sara 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.
Is Sara Park affiliated with any hospitals?
According to CMS data, Sara Park is affiliated with Lake Granbury Medical Center.
When was this NPI record last updated?
The NPPES record for Sara Park was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Sara Heejung Park, MD · NPI 1558822908
Anesthesiology physician in San Diego, California. Individual provider, active in the CMS NPPES registry since March 28, 2019.
## Identity
- **NPI:** 1558822908 (Entity type: Individual)
- **Enumerated:** March 28, 2019
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** A185244 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3626 RUFFIN RD, San Diego, CA 92123-1810
- **Phone:** (858) 565-9666
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Anesthesia Service Medical Group (NPI 1053354233, San Diego, CA); Emergenchealth PLLC (NPI 1467970897, Fort Worth, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1558822908) · Data from the CMS NPPES public registry.