DR. SAMUEL PARK M.D.
NPI 1750532610
Family Medicine in Glendale, CA

Active since October 08, 2008PECOS EnrolledAccepts Medicare Assignment
444 W GLENOAKS BLVD, GLENDALE, CA 91202(818) 552-3000 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 3, 2021, Apr 8, 2020, May 10, 2019 (3 updates tracked since 2019).

About Dr. Samuel Park M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL PARK M.D. (NPI 1750532610) is an individual family medicine provider in Glendale, California, licensed in California (A111437) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2008).

NPPES Registry Identity

NPI1750532610
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SAMUEL PARKCredential: M.D.
Location Address444 W GLENOAKS BLVDGlendale, CA 91202-2917
Mailing Address444 W Glenoaks BlvdGlendale, CA 91202-2917 · (818) 552-3000
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2008
Enumeration DateOctober 8, 2008
Last NPPES UpdateDecember 3, 20213 updates tracked since enumeration
NPPES CertifiedApril 8, 2020
NPI 1750532610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A111437
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
444 W GLENOAKS BLVD, Glendale, CA 91202

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

Dr. Samuel 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.

PECOS PAC ID2668635715
PECOS Enrollment IDI20120529000584
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 91202 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
444 W GLENOAKS BLVD
GLENDALE, CA 91202
Family Medicine
444 W GLENOAKS BLVD
GLENDALE, CA 91202
Pharmacist
444 W GLENOAKS BLVD
GLENDALE, CA 91202
Pharmacist
444 W GLENOAKS BLVD
GLENDALE, CA 91202
Internal Medicine
444 W GLENOAKS BLVD
GLENDALE, CA 91202
Family Medicine
444 W GLENOAKS BLVD
GLENDALE, CA 91202
Social Worker (Clinical)
444 W GLENOAKS BLVD
GLENDALE, CA 91202
Pediatrics
444 W GLENOAKS BLVD
GLENDALE, CA 91202

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 1750532610. It was assigned to this individual provider in the NPPES registry on October 8, 2008.

Where is Samuel Park located?

Samuel Park practices at 444 W Glenoaks Blvd, Glendale, CA 91202. The listed phone number is (818) 552-3000.

What is Samuel Park's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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.

When was this NPI record last updated?

The NPPES record for Samuel Park was last updated on December 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.