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

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: October 18, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Caroline Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
Same address
Health Maintenance Organization
5601 DE SOTO AVE
Woodland Hills, CA 91367
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1952333478 (818) 719-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

TIMOTHY STARR MPT
Physical Therapist (Orthopedic)
5601 DE SOTO AVE, PHYSICAL THERAPY DEPARTMENT
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-2930
MS. BONNIE JILL WEISSMAN P.T.A.
Technician, Other
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-3958
MANO SHANAA M.D.
Anesthesiology
5601 DE SOTO AVE, DEPT OF ANESTHESIA
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-2261
DONNA M KARY CRNA
Nurse Anesthetist, Certified Registered
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-2000
PAULA MONAGHAN CNM
Advanced Practice Midwife
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-2000
DEAN T. NORA MD
Surgery (Surgical Oncology)
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-2000
MARGARET M. STONE MD
Pediatrics (Pediatric Infectious Diseases)
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-2000
KARIN L NIELSEN PA
Physician Assistant
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-2000

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 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.

Where is Caroline Park located?

Caroline Park practices at 5601 De Soto Ave, Woodland Hills, CA 91367. The listed phone number is (818) 719-2115.

What is Caroline Park's specialty?

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

Is Caroline Park enrolled in Medicare?

Yes. Caroline Park is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Caroline Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Park reassigns Medicare benefits to Southern California Permanente Medical Group (Woodland Hills, 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 Caroline Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Caroline Park was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.