MIN JUNG PARK MD, MMSC
NPI 1700048279
Orthopaedic Surgery in Lancaster, CA
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 and maintains a secondary practice location in Philadelphia.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Min Jung Park Md, Mmsc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Min Jung Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lancaster, CA 93534
- Reassigned Medicare billing, California enrollment
- 13,921 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.
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.
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.
LANCASTER, CA 93534
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.
Which organization bills Medicare for Min Jung Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Min Jung Park reassigns Medicare benefits to Southern California Permanente Medical Group (Lancaster, 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 Min Jung 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 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.
# Min Jung Park, MD, MMSC · NPI 1700048279
Orthopaedic Surgery physician in Lancaster, California. Individual provider, active in the CMS NPPES registry since June 26, 2008.
## Identity
- **NPI:** 1700048279 (Entity type: Individual)
- **Enumerated:** June 26, 2008
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** A125606 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 615 W AVENUE L, Lancaster, CA 93534-7211
- **Phone:** (661) 618-0031
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1982863783, Lancaster, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1700048279) · Data from the CMS NPPES public registry.