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

Q: What is Jin Park's NPI number?

The NPI number for Jin Park is 1710016514. It was assigned to this individual provider in the NPPES registry on March 5, 2007. The provider is also known as Dr. James Park Dds.

Q: What is Jin Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jin Park was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

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: August 09, 2026.

On this page

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

Phone(562) 633-6566

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

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Other Names 1

Professional Name (2)Dr. James Park Dds

Other Identifiers 1

MedicaidB 37476CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.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.

JIN S PARK DDS PC

Dentist (General Practice)

8428 ALONDRA BLVD
PARAMOUNT, CA 90723

Los Angeles County (562) 633-6566

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 Jin Park's NPI number?

The NPI number for Jin Park is 1710016514. It was assigned to this individual provider in the NPPES registry on March 5, 2007. The provider is also known as Dr. James Park Dds.

Where is Jin Park located?

Jin Park practices at 8428 Alondra Blvd, Paramount, CA 90723. The listed phone number is (562) 633-6566.

What is Jin Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jin Park enrolled in Medicare?

Yes. Jin Park is registered in the Medicare PECOS enrollment system.

What insurance does Jin Park accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Jin 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.

When was this NPI record last updated?

The NPPES record for Jin Park was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.