JONATHAN KEON PARK
NPI 1720215486
Radiology - Vascular & Interventional Radiology in Torrance, CA

Active since June 19, 2009PECOS EnrolledAccepts Medicare Assignment
3330 LOMITA BLVD, TORRANCE, CA 90505(310) 325-9110 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2025, Feb 6, 2017 (2 updates tracked since 2017).

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

NPI1720215486
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameJONATHAN KEON PARK
Location Address3330 LOMITA BLVDTorrance, CA 90505-5002
Mailing Address3330 Lomita BlvdTorrance, CA 90505-5002 · (310) 325-9111
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2009
Enumeration DateJune 19, 2009
Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
NPI 1720215486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License Licensed in CA · A113114
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
3330 LOMITA BLVD, Torrance, CA 90505

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID9830351790
PECOS Enrollment IDI20120510000404
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.

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
267 services240 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
182 services169 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
141 services140 patients
3d radiographic procedure with computerized image postprocessing 76377
A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.
126 services126 patients
Mri scan of pelvis before and after contrast 72197
An MRI scan of the pelvis before and after contrast is a non-invasive imaging technique. It uses magnetic fields and radio waves to capture detailed images of your lower abdomen. Contrast dye, safe for the body, improves image clarity. This helps detect abnormalities more accurately.
123 services123 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
86 services83 patients

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.

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.

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

Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections
Percentage of patients, regardless of age, who undergo central venous catheter (CVC) insertion for whom CVC was inserted with all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound…
95%153 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Social Worker (Clinical)
3330 LOMITA BLVD
TORRANCE, CA 90505
Radiology (Diagnostic Radiology)
3330 LOMITA BLVD
TORRANCE, CA 90505
Emergency Medicine
3330 LOMITA BLVD
TORRANCE, CA 90505
Emergency Medicine
3330 LOMITA BLVD
TORRANCE, CA 90505
Anesthesiology
3330 LOMITA BLVD
TORRANCE, CA 90505
Radiology (Diagnostic Radiology)
3330 LOMITA BLVD
TORRANCE, CA 90505
Radiology (Radiation Oncology)
3330 LOMITA BLVD
TORRANCE, CA 90505
Dietitian, Registered
3330 LOMITA BLVD
TORRANCE, CA 90505

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.

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 12 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.