JONATHAN KEON PARK
NPI 1720215486
Radiology - Vascular & Interventional Radiology in Torrance, CA
About Jonathan Keon Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN KEON PARK (NPI 1720215486) is an individual vascular & interventional radiology provider in Torrance, California, licensed in California (A113114) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (2009).
NPPES Registry Identity
Specialties & Licenses
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
Jonathan Keon Park 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.
Medicare Billing Reassignments
4Medicare enrollment records show Jonathan Park reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Torrance, CA 90505
- Reassigned Medicare billing, California enrollment
- 106 clinicians in this Medicare group
Torrance, CA 90505
- Reassigned Medicare billing, California enrollment
- 27 clinicians in this Medicare group
Torrance, CA 90505
- Reassigned Medicare billing, California enrollment
- 388 clinicians in this Medicare group
Torrance, CA 90502
- Reassigned Medicare billing, California enrollment
- 1,939 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.
Areas of Expertise CMS Part B claims 45
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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.
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 Jonathan Park's NPI number?
The NPI number for Jonathan Park is 1720215486. It was assigned to this individual provider in the NPPES registry on June 19, 2009.
Where is Jonathan Park located?
Jonathan Park practices at 3330 Lomita Blvd, Torrance, CA 90505. The listed phone number is (310) 325-9110.
What is Jonathan Park's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.
Is Jonathan Park enrolled in Medicare?
Yes. Jonathan 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 organizations bill Medicare for Jonathan Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Park reassigns Medicare benefits to 4 organizations: Torrance Memorial Medical Center (Torrance, CA), Torrance Radiology Medical Group (Torrance, CA), Torrance Health Association Inc (Torrance, CA) and County Of Los Angeles (Torrance, CA). Each 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 Jonathan 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 Jonathan Park was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.