TED PARK MD
NPI 1871113050
Family Medicine in Whittier, CA
About Ted Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TED PARK MD (NPI 1871113050) is an individual family medicine provider in Whittier, California, licensed in California (A178286) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Vancouver, and is a graduate of Loma Linda University School Of Medicine (2020).
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 and accepts Medicare assignment
Ted Park Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Ted Park reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Whittier, CA 90606
- Reassigned Medicare billing, California enrollment
- 840 clinicians in this Medicare group
Los Angeles, CA 90015
- Reassigned Medicare billing, California enrollment
- 2,052 clinicians in this Medicare group
Vancouver, WA 98664
- Reassigned Medicare billing, Washington enrollment
- 711 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 2
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 90606 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WHITTIER, CA 90606
WHITTIER, CA 90606
WHITTIER, CA 90606
WHITTIER, CA 90606
WHITTIER, CA 90606
WHITTIER, CA 90606
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 Ted Park's NPI number?
The NPI number for Ted Park is 1871113050. It was assigned to this individual provider in the NPPES registry on April 17, 2020.
Where is Ted Park located?
Ted Park practices at 12291 Washington Blvd Ste 500, Whittier, CA 90606. The listed phone number is (562) 698-2541.
What is Ted Park's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ted Park enrolled in Medicare?
Yes. Ted 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.
Which organizations bill Medicare for Ted Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ted Park reassigns Medicare benefits to 3 organizations: Pih Health Physicians (Whittier, CA), Healthcare Partners Affiliates Medical Group (Los Angeles, CA) and The Vancouver Clinic Inc Ps (Vancouver, WA). Each 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 Ted 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 Ted Park was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Ted Park, MD · NPI 1871113050
Family Medicine physician in Whittier, California. Individual provider, active in the CMS NPPES registry since April 17, 2020.
## Identity
- **NPI:** 1871113050 (Entity type: Individual)
- **Enumerated:** April 17, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A178286 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 12291 WASHINGTON BLVD STE 500, Whittier, CA 90606-2551
- **Phone:** (562) 698-2541
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Pih Health Physicians (NPI 1427405737, Whittier, CA); Healthcare Partners Affiliates Medical Group (NPI 1659312593, Los Angeles, CA); The Vancouver Clinic Inc Ps (NPI 1992759427, Vancouver, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** December 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1871113050) · Data from the CMS NPPES public registry.