SAMUEL MO PARK M.D.
NPI 1740285907
Physical Medicine & Rehabilitation in Chico, CA
About Samuel Mo Park M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL MO PARK M.D. (NPI 1740285907) is an individual physical medicine & rehabilitation provider in Chico, California, licensed in California (G87601) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Samuel Mo Park M.d. 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 Reassignment
Medicare enrollment records show Samuel Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 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.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICO, CA 95926
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 Samuel Park's NPI number?
The NPI number for Samuel Park is 1740285907. It was assigned to this individual provider in the NPPES registry on June 15, 2005.
Where is Samuel Park located?
Samuel Park practices at 340 W East Ave, Chico, CA 95926. The listed phone number is (530) 342-2777.
What is Samuel Park's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Samuel Park enrolled in Medicare?
Yes. Samuel 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 organization bills Medicare for Samuel Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Park reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The 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 Samuel 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 Samuel Park was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.