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SARAH PARK N.P.-C
NPI 1609282771
Nurse Practitioner - Family in Los Alamitos, CA

Active since July 09, 2014PECOS EnrolledAccepts Medicare Assignment
10861 CHERRY ST STE 302, LOS ALAMITOS, CA 90720(562) 493-1011(562) 594-9226 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 29, 2021, Oct 26, 2018 (2 updates tracked since 2018).

About Sarah Park N.p.-c NPPES

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

SARAH PARK N.P.-C (NPI 1609282771) is an individual family provider in Los Alamitos, California, licensed in California (9000472) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Corona, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1609282771
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSARAH PARKCredential: N.P.-C
Location Address10861 CHERRY ST STE 302Los Alamitos, CA 90720-5403
Mailing Address10861 Cherry St Ste 302Los Alamitos, CA 90720-5403 · (562) 493-1011 · Fax (562) 594-9226
Phone(562) 493-1011
Fax(562) 594-9226
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 9, 2014
Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration
✔ NPI 1609282771 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 · 9000472
10861 CHERRY ST STE 302, Los Alamitos, CA 90720
Open in Google Maps ↗

Secondary Practice Location 1

Location 12097 Compton Ave, Suite 103Corona, CA 92881-7282 · Phone (951) 345-0505

Other Identifiers 1

MedicaidGR0058960CA

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

Sarah Park N.p.-c 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.

PECOS PAC ID2466776562
PECOS Enrollment IDI20150120002314
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.

Medicare Billing Reassignment

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

Southern California Permanente Medical Group
7.7 mi
Health Maintenance Organization
9400 ROSECRANS AVE
Bellflower, CA 90706
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1043242555 (562) 461-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90720 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.

EUGENE R PANTANGCO M.D.
Internal Medicine (Gastroenterology)
10861 CHERRY ST STE 302
LOS ALAMITOS, CA 90720
Orange County (562) 493-1011

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 Sarah Park's NPI number?

The NPI number for Sarah Park is 1609282771. It was assigned to this individual provider in the NPPES registry on July 9, 2014.

Where is Sarah Park located?

Sarah Park practices at 10861 Cherry St Ste 302, Los Alamitos, CA 90720. The listed phone number is (562) 493-1011.

What is Sarah Park's specialty?

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

Is Sarah Park enrolled in Medicare?

Yes. Sarah 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 organization bills Medicare for Sarah Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Park reassigns Medicare benefits to Southern California Permanente Medical Group (Bellflower, 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 Sarah Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sarah Park was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.