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, 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.
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.
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.