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MIN JUNG PARK MD, MMSC
NPI 1700048279
Orthopaedic Surgery in Lancaster, CA

Active since June 26, 2008PECOS Enrolled
615 W AVENUE L, LANCASTER, CA 93534(661) 618-0031 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 8, 2021, Mar 17, 2018 (2 updates tracked since 2018).

About Min Jung Park Md, Mmsc NPPES

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

MIN JUNG PARK MD, MMSC (NPI 1700048279) is an individual orthopaedic surgery provider in Lancaster, California, licensed in California (A125606) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700048279
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMIN JUNG PARKCredential: MD, MMSC
Location Address615 W AVENUE LLancaster, CA 93534-7211
Mailing Address615 W Avenue LLancaster, CA 93534-7211 · (213) 300-1982
Phone(661) 618-0031
Sole ProprietorNo
Enumeration DateJune 26, 2008
Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration
✔ NPI 1700048279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in CA · A125606✔ Licensed in PA · MT192455
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License A125606 (CA)
615 W AVENUE L, Lancaster, CA 93534
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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)

Min Jung Park Md, Mmsc 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 93534 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

SUSAN URIBE
Respiratory Therapist, Registered
615 W AVENUE L
LANCASTER, CA 93534
Los Angeles County (661) 723-2002
DR. DIANA DAVIO M.D.
Colon & Rectal Surgery
615 W AVENUE L
LANCASTER, CA 93534
Los Angeles County (661) 723-2866
MONIK JEFFERSON NP
Nurse Practitioner (Family)
615 W AVENUE L
LANCASTER, CA 93534
Los Angeles County (661) 723-2810
ALEXA ANGELIQUE SIRAKI
Pharmacist
615 W AVENUE L
LANCASTER, CA 93534
Los Angeles County (661) 723-2815
DR. VANESSA OUANSSI BALEMAGNA PHARMD
Pharmacist
615 W AVENUE L
LANCASTER, CA 93534
Los Angeles County (661) 723-2489
MS. ANGELA K. WILLIAMS LCSW
Social Worker (Clinical)
615 W AVENUE L
LANCASTER, CA 93534
Los Angeles County (661) 723-2177
DR. REUVEN B MINKOWITZ M.D.
Specialist
615 W AVENUE L, KAISER PERMANENTE ANTELOPE VALLEY
LANCASTER, CA 93534
Los Angeles County (661) 729-7100
KAMRAN KABOLIZADEH MD
Psychiatry & Neurology (Neurology)
615 W AVENUE L
LANCASTER, CA 93534
Los Angeles County (661) 729-7100

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 Min Jung Park's NPI number?

The NPI number for Min Jung Park is 1700048279. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Min Jung Park located?

Min Jung Park practices at 615 W Avenue L, Lancaster, CA 93534. The listed phone number is (661) 618-0031.

What is Min Jung Park's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Min Jung Park enrolled in Medicare?

Yes. Min Jung Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Min Jung Park was last updated on December 8, 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.