DR. JOE W PARK DC, CCSP
NPI 1790734572
Chiropractor in Tustin, CA
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
Specialties & Licenses
Accepted Insurance
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Joe Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tustin, CA 92780
- Reassigned Medicare billing, California enrollment
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 2
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 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.
Which organization bills Medicare for Joe Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joe Park reassigns Medicare benefits to J Park Chiropractic, P.C. (Tustin, 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 Joe Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Joe Park accept?
Health plans from Providence Health Plan list Joe Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 3 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.
# Dr. Joe W Park, DC, CCSP · NPI 1790734572
Chiropractor provider in Tustin, California. Individual provider, active in the CMS NPPES registry since May 9, 2006.
## Identity
- **NPI:** 1790734572 (Entity type: Individual)
- **Enumerated:** May 9, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** DC29675 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 15991 RED HILL AVE STE 100, Tustin, CA 92780-7320
- **Phone:** (949) 701-8250
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** J Park Chiropractic, P.C. (NPI 1962369132, Tustin, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Los Angeles College Of Chiropractic, class of 2004
## Record status
- **NPPES last updated:** July 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790734572) · Data from the CMS NPPES public registry.