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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JOE W PARK DC, CCSP
NPI 1790734572
Chiropractor in Tustin, CA

Active since May 09, 2006Accepts Medicare Assignment
15991 RED HILL AVE STE 100, TUSTIN, CA 92780(949) 701-8250 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2026, Feb 6, 2026, Jul 3, 2025 and 4 more (7 updates tracked since 2017).

About Dr. Joe W Park Dc, Ccsp NPPES

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

DR. JOE W PARK DC, CCSP (NPI 1790734572) is an individual chiropractor in Tustin, California, licensed in California (DC29675) and active in the NPI registry since May 2006. He is a graduate of Los Angeles College Of Chiropractic (2004).

NPPES Registry Identity

NPI1790734572
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JOE W PARKCredential: DC, CCSP
Location Address15991 RED HILL AVE STE 100Tustin, CA 92780-7320
Mailing Address15991 Red Hill Ave Ste 100Tustin, CA 92780-7320 · (949) 701-8250
Phone(949) 701-8250
Sole ProprietorNo
Medical School CMSLos Angeles College Of ChiropracticGraduated 2004
Enumeration DateMay 9, 2006
Last NPPES UpdateJuly 8, 20267 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1790734572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in CA · DC29675✔ Licensed in CA · 29675
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
15991 RED HILL AVE STE 100, Tustin, CA 92780
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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. Joe W Park Dc, Ccsp 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 ID3870500952
PECOS Enrollment IDI20260519004110

Other Providers at the Same Location NPPES 2

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

INEIGHT ENTERPRISES, INC.
Chiropractor
15991 RED HILL AVE STE 100
TUSTIN, CA 92780
Orange County (949) 392-9534
J PARK CHIROPRACTIC, P.C.
Chiropractor
15991 RED HILL AVE STE 100
TUSTIN, CA 92780
Orange County (949) 392-9534

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 Joe Park's NPI number?

The NPI number for Joe Park is 1790734572. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Joe Park located?

Joe Park practices at 15991 Red Hill Ave Ste 100, Tustin, CA 92780. The listed phone number is (949) 701-8250.

What is Joe Park's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Joe Park enrolled in Medicare?

Yes. Joe 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 Joe Park was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.