YEJI ESTHER PARK
NPI 1851840342
Nurse Practitioner in San Diego, CA
About Yeji Esther Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YEJI ESTHER PARK (NPI 1851840342) is an individual nurse practitioner in San Diego, California, licensed in California (95004868) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cerritos.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Yeji Esther Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Yeji Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92131
- Reassigned Medicare billing, California enrollment
- 38 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92127 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92127
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 Yeji Park's NPI number?
The NPI number for Yeji Park is 1851840342. It was assigned to this individual provider in the NPPES registry on September 26, 2016.
Where is Yeji Park located?
Yeji Park practices at 16745 W Bernardo Dr Ste 240, San Diego, CA 92127. The listed phone number is (858) 592-2000.
What is Yeji Park's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Yeji Park enrolled in Medicare?
Yes. Yeji Park is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Yeji Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yeji Park reassigns Medicare benefits to Seasons Medical Group Of California Incorporated (San Diego, 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 Yeji 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 Yeji Park was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Yeji Esther Park · NPI 1851840342
Nurse Practitioner physician in San Diego, California. Individual provider, active in the CMS NPPES registry since September 26, 2016.
## Identity
- **NPI:** 1851840342 (Entity type: Individual)
- **Enumerated:** September 26, 2016
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95004868 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 16745 W BERNARDO DR STE 240, San Diego, CA 92127-1908
- **Phone:** (858) 592-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Seasons Medical Group Of California Incorporated (NPI 1790239473, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1851840342) · Data from the CMS NPPES public registry.