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JANE PARK PA
NPI 1760347165
Physician Assistant - Medical in Los Angeles, CA

Active since December 17, 2025
1731 E 120TH ST, LOS ANGELES, CA 90059(323) 563-4800 Get Directions Write a Review

NPPES record last updated: January 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2026, Dec 17, 2025 (2 updates tracked since 2025).

About Jane Park Pa NPPES

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

JANE PARK PA (NPI 1760347165) is an individual medical provider in Los Angeles, California and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1760347165
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJANE PARKCredential: PA
Location Address1731 E 120TH STLos Angeles, CA 90059-3051
Mailing Address1731 E 120th StLos Angeles, CA 90059-3051
Phone(323) 563-4800
Sole ProprietorYes
Enumeration DateDecember 17, 2025
Last NPPES UpdateJanuary 10, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2026
✔ NPI 1760347165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1731 E 120TH ST, Los Angeles, CA 90059
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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.

MADISON KAUANOE WILLIAMS MD
Psychiatry & Neurology (Psychiatry)
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
CHRIS NOLASCO
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 568-3347
SAMUEL KIM MD
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-2480
KATIA CAMPOS
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
TIFFANY MOLINA TAN
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
JASMINE ALEXANDRIA HOLLOWAY
Physician Assistant
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
SHARDAE BLANDIN
Physician Assistant
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
BRIAN GIOVANNI MONTANO
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800

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 Jane Park's NPI number?

The NPI number for Jane Park is 1760347165. It was assigned to this individual provider in the NPPES registry on December 17, 2025.

Where is Jane Park located?

Jane Park practices at 1731 E 120th St, Los Angeles, CA 90059. The listed phone number is (323) 563-4800.

What is Jane Park's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jane Park was last updated on January 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.