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TED PARK MD
NPI 1871113050
Family Medicine in Whittier, CA

Active since April 17, 2020PECOS EnrolledAccepts Medicare Assignment
12291 WASHINGTON BLVD STE 500, WHITTIER, CA 90606(562) 698-2541 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2025, Jul 23, 2023, Apr 17, 2020 (3 updates tracked since 2020).

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

NPI1871113050
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTED PARKCredential: MD
Location Address12291 WASHINGTON BLVD STE 500Whittier, CA 90606-2551
Mailing Address12291 Washington Blvd Ste 500Whittier, CA 90606-2551 · (562) 698-2541 · Fax (562) 789-4340
Phone(562) 698-2541
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2020
Enumeration DateApril 17, 2020
Last NPPES UpdateDecember 3, 20253 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1871113050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · A178286✔ Licensed in WA · MD61411462
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12291 WASHINGTON BLVD STE 500, Whittier, CA 90606
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Secondary Practice Location 1

Location 1501 SE 172nd AveVancouver, WA 98684-9542 · Phone (360) 882-2778

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

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

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.

PECOS PAC ID941671184
PECOS Enrollment IDI20230125002562, I20230808003703
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 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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
35 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services20 patients

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.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 17

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

JORGE RODRIGO MERCADO M.D.
Student in an Organized Health Care Education/Training Program
12291 WASHINGTON BLVD STE 500
WHITTIER, CA 90606
Los Angeles County (562) 789-5400
DR. LONG NGUYEN
Student in an Organized Health Care Education/Training Program
12291 WASHINGTON BLVD STE 500
WHITTIER, CA 90606
Los Angeles County (562) 698-2541
DR. JUSTIN LUU DO
Student in an Organized Health Care Education/Training Program
12291 WASHINGTON BLVD STE 500
WHITTIER, CA 90606
Los Angeles County (562) 698-2541
TIFFANY SHIH DO
Family Medicine
12291 WASHINGTON BLVD STE 500
WHITTIER, CA 90606
Los Angeles County (562) 698-2541
LIEN HA MD
Student in an Organized Health Care Education/Training Program
12291 WASHINGTON BLVD STE 500
WHITTIER, CA 90606
Los Angeles County (562) 698-2541
DR. JIAN J MA M.D., DC, D.A.C.B.R
Chiropractor
12291 WASHINGTON BLVD STE 500
WHITTIER, CA 90606
Los Angeles County (562) 698-2541
JOHN VAN LE
Student in an Organized Health Care Education/Training Program
12291 WASHINGTON BLVD STE 500
WHITTIER, CA 90606
Los Angeles County (626) 980-8115
BETTY YU WONG DO
Student in an Organized Health Care Education/Training Program
12291 WASHINGTON BLVD STE 500
WHITTIER, CA 90606
Los Angeles County (562) 698-0811

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.

What insurance does Ted Park accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Ted Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 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.