CAROLINE KIM PARK M.D.
NPI 1811230139
Pediatrics in Woodland Hills, CA

Q: What is Caroline Park's NPI number?

The NPI number for Caroline Park is 1811230139. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Q: What is Caroline Park's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Caroline Park was last updated on March 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 04, 2013PECOS Enrolled

5601 DE SOTO AVE, WOODLAND HILLS, CA 91367(818) 719-2115 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 1, 2022, Feb 7, 2022, Jan 12, 2016 (3 updates tracked since 2016).

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About Caroline Kim Park M.d. NPPES

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

CAROLINE KIM PARK M.D. (NPI 1811230139) is an individual pediatrics provider in Woodland Hills, California, licensed in California (A119942) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811230139

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameCAROLINE KIM PARKCredential: M.D.

Location Address5601 DE SOTO AVEWoodland Hills, CA 91367-6701

Mailing Address5601 De Soto AveWoodland Hills, CA 91367-6701 · (818) 719-2115

Phone(818) 719-2115

Sole ProprietorYes

Enumeration DateApril 4, 2013

Last NPPES UpdateMarch 1, 20223 updates tracked since enumeration

NPPES CertifiedMarch 1, 2022

✔ NPI 1811230139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A119942

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

5601 DE SOTO AVE, Woodland Hills, CA 91367

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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 (PECOS)

Caroline Kim Park M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 91367 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.