MR. YOUNG IL PARK FNP
NPI 1811609100
Nurse Practitioner - Family in Los Angeles, CA
About Mr. Young Il Park Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. YOUNG IL PARK FNP (NPI 1811609100) is an individual family provider in Los Angeles, California, licensed in California (95023005) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
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
Mr. Young Il Park Fnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Young Park's NPI number?
The NPI number for Young Park is 1811609100. It was assigned to this individual provider in the NPPES registry on December 19, 2022.
Where is Young Park located?
Young Park practices at 525 N Madison Ave Apt 103, Los Angeles, CA 90004. The listed phone number is (213) 308-0777.
What is Young Park's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Young Park enrolled in Medicare?
Yes. Young 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 Young Park was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. Young Il Park, FNP · NPI 1811609100
Family physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since December 19, 2022.
## Identity
- **NPI:** 1811609100 (Entity type: Individual)
- **Enumerated:** December 19, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95023005 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 525 N MADISON AVE APT 103, Los Angeles, CA 90004-2285
- **Phone:** (213) 308-0777
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 19, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1811609100) · Data from the CMS NPPES public registry.