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TAIKEUN PARK MD
NPI 1831175918
Internal Medicine in Chula Vista, CA

Active since December 20, 2005PECOS Enrolled
251 LANDIS AVENUE, CHULA VISTA, CA 91910(619) 515-2500(619) 934-9578 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Taikeun Park Md NPPES

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

TAIKEUN PARK MD (NPI 1831175918) is an individual internal medicine provider in Chula Vista, California, licensed in California (C51444) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1831175918
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTAIKEUN PARKCredential: MD
Location Address251 LANDIS AVENUEChula Vista, CA 91910-9578
Mailing Address13788 Torrey Del Mar DrSan Diego, CA 92130-5629 · (858) 997-5927
Phone(619) 515-2500
Fax(619) 934-9578
Sole ProprietorNo
Enumeration DateDecember 20, 2005
Last NPPES UpdateMarch 23, 2021
NPPES CertifiedMarch 23, 2021
✔ NPI 1831175918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · C51444
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedGeneral PracticeTaxonomy 208D00000X · License C51444 (CA)
251 LANDIS AVENUE, Chula Vista, CA 91910
Open in Google Maps ↗

Other Names 1

Other Name (5)Ken Park M.d

Secondary Practice Location 1

Location 113788 Torrey Del Mar DrSan Diego, CA 92130-5629 · Phone (858) 997-5927

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taikeun Park Md 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 Taikeun Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Health Centers Of San Diego, Inc
Same address
Federally Qualified Health Center (FQHC)
251 LANDIS AVE
Chula Vista, CA 91910
  • Reassigned Medicare billing, California enrollment
  • 1,100 clinicians in this Medicare group
NPI 1346480837 (619) 515-2500

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 91910 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
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.

PAUL EDWARD HUBLEY MD
Family Medicine
251 LANDIS AVENUE
CHULA VISTA, CA 91910
San Diego County (619) 515-2500

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 Taikeun Park's NPI number?

The NPI number for Taikeun Park is 1831175918. It was assigned to this individual provider in the NPPES registry on December 20, 2005. The provider is also known as Ken Park M.D.

Where is Taikeun Park located?

Taikeun Park practices at 251 Landis Avenue, Chula Vista, CA 91910. The listed phone number is (619) 515-2500.

What is Taikeun Park's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Taikeun Park enrolled in Medicare?

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

Which organization bills Medicare for Taikeun Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taikeun Park reassigns Medicare benefits to Family Health Centers Of San Diego, Inc (Chula Vista, 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 Taikeun 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 Taikeun Park was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.