SOO PARK M.D.
NPI 1821351198
Internal Medicine - Hematology & Oncology in La Jolla, CA

Q: What is Soo Park's NPI number?

The NPI number for Soo Park is 1821351198. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Q: What is Soo Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Soo Park was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 20, 2012PECOS EnrolledAccepts Medicare Assignment

MOORES UCSD CANCER CTR, 3855 HEALTH SCIENCES DRIVE, MC-0829, LA JOLLA, CA 92093(858) 657-5281 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2025, Mar 13, 2020 (2 updates tracked since 2020).

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About Soo Park M.d. NPPES

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

SOO PARK M.D. (NPI 1821351198) is an individual hematology & oncology provider in La Jolla, California, licensed in California (135455) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Indiana University School Of Medicine (2012).

NPPES Registry Identity

NPI1821351198

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameSOO PARKCredential: M.D.

Location AddressMOORES UCSD CANCER CTR, 3855 HEALTH SCIENCES DRIVE, MC-0829La Jolla, CA 92093-0829

Mailing AddressFile 57326Los Angeles, CA 90074-7326 · (800) 926-8273

Phone(858) 657-5281

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2012

Enumeration DateJune 20, 2012

Last NPPES UpdateNovember 13, 20252 updates tracked since enumeration

NPPES CertifiedNovember 13, 2025

✔ NPI 1821351198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in CA · 135455

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2012019698 (MO)

MOORES UCSD CANCER CTR, La Jolla, CA 92093

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Secondary Practice Location 1

Location 1200 W Arbor DrSan Diego, CA 92103-9000 · Phone (800) 926-8273

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

Soo Park M.d. 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 ID8123257342

PECOS Enrollment IDI20200331002082

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

267 services89 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

54 services54 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

30 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92093 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

$184.71 typical visit price

range $62.10 – $184.71

Typical copayment $46.17 (range $15.52 – $46.17)

Most-billed visit code 99205

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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

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

DR. ELISABETH C MCLEMORE M.D.

Colon & Rectal Surgery

MOORES UCSD CANCER CTR, 3855 HEALTH SCIENCES DRIVE
LA JOLLA, CA 92093

San Diego County (858) 822-6100

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 Soo Park's NPI number?

The NPI number for Soo Park is 1821351198. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Soo Park located?

Soo Park practices at Moores Ucsd Cancer Ctr 3855 Health Sciences Drive, Mc-0829, La Jolla, CA 92093. The listed phone number is (858) 657-5281.

What is Soo Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Soo Park enrolled in Medicare?

Yes. Soo 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 Soo Park was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.