DR. JIN S PARK
NPI 1710016514
Dentist - General Practice in Paramount, CA

Active since March 05, 2007PECOS Enrolled
8428 ALONDRA BLVD, PARAMOUNT, CA 90723(562) 633-6566(562) 633-3308 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jin S Park NPPES

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

DR. JIN S PARK (NPI 1710016514) is an individual general practice provider in Paramount, California, licensed in California (37476) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710016514
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JIN S PARK
Location Address8428 ALONDRA BLVDParamount, CA 90723-4406
Mailing Address8428 Alondra BlvdParamount, CA 90723-4406 · (562) 633-6566 · Fax (562) 633-3308
Fax(562) 633-3308
Sole ProprietorNo
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1710016514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 37476
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

8428 ALONDRA BLVD, Paramount, CA 90723

Other Names 1

Professional Name (2)Dr. James Park Dds

Other Identifiers 1

MedicaidB 37476CA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jin S Park 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 90723 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

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

Dentist (General Practice)
8428 ALONDRA BLVD
PARAMOUNT, CA 90723

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710016514, enumerated as an "individual" on March 05, 2007.

The provider is located at 8428 ALONDRA BLVD PARAMOUNT, CA 90723 and the phone number is (562) 633-6566.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.