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DR. CHAN M PARK MD
NPI 1871617027
Oral & Maxillofacial Surgery in Anaheim, CA

Active since March 16, 2007PECOS Enrolled
3460 E LA PALMA AVE STE 202, ANAHEIM, CA 92806(833) 574-2273 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2022, May 26, 2022, Oct 9, 2019 (3 updates tracked since 2019).

About Dr. Chan M Park Md NPPES

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

DR. CHAN M PARK MD (NPI 1871617027) is an individual oral & maxillofacial surgery provider in Anaheim, California, licensed in California (A109104) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871617027
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. CHAN M PARKCredential: MD
Location Address3460 E LA PALMA AVE STE 202Anaheim, CA 92806-2020
Mailing Address3460 E La Palma Ave Ste 202Anaheim, CA 92806-2020 · (833) 574-2273
Phone(833) 574-2273
Sole ProprietorNo
Enumeration DateMarch 16, 2007
Last NPPES UpdateJuly 25, 20223 updates tracked since enumeration
NPPES CertifiedMay 26, 2022
✔ NPI 1871617027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in CA · A109104
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
3460 E LA PALMA AVE STE 202, Anaheim, CA 92806
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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 (PECOS)

Dr. Chan M 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.

Other Providers at the Same Location NPPES

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

NIKLAUS VONRYAN ERIKSEN M.D.
Otolaryngology
3460 E LA PALMA AVE STE 202
ANAHEIM, CA 92806
Orange County (888) 988-2800

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 Chan Park's NPI number?

The NPI number for Chan Park is 1871617027. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Chan Park located?

Chan Park practices at 3460 E La Palma Ave Ste 202, Anaheim, CA 92806. The listed phone number is (833) 574-2273.

What is Chan Park's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Chan Park enrolled in Medicare?

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

What insurance does Chan Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Chan 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 Chan Park was last updated on July 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.