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DANIEL PARK MD
NPI 1881335693
Pediatrics in Alameda, CA

Active since April 05, 2022PECOS Enrolled
1359 PARK AVE, ALAMEDA, CA 94501(510) 523-8162 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2025, Jun 23, 2025, Apr 7, 2022 (3 updates tracked since 2022).

About Daniel Park Md NPPES

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

DANIEL PARK MD (NPI 1881335693) is an individual pediatrics provider in Alameda, California, licensed in California (A189753) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1881335693
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDANIEL PARKCredential: MD
Location Address1359 PARK AVEAlameda, CA 94501-4511
Mailing Address1359 Park AveAlameda, CA 94501-4511 · (510) 523-8162
Phone(510) 523-8162
Sole ProprietorNo
Enumeration DateApril 5, 2022
Last NPPES UpdateSeptember 23, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2025
✔ NPI 1881335693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A189753
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1359 PARK AVE, Alameda, CA 94501
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Secondary Practice Location 1

Location 1747 52nd StOakland, CA 94609-1809 · Phone (510) 428-3000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Lpch Medical Group Div Of Lucile
23 mi
Children
725 WELCH RD
Palo Alto, CA 94304
  • Reassigned Medicare billing, California enrollment
  • 3,617 clinicians in this Medicare group
NPI 1417907940 (650) 498-6762

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 94501 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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 Daniel Park's NPI number?

The NPI number for Daniel Park is 1881335693. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Daniel Park located?

Daniel Park practices at 1359 Park Ave, Alameda, CA 94501. The listed phone number is (510) 523-8162.

What is Daniel Park's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Daniel Park enrolled in Medicare?

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

Which organization bills Medicare for Daniel Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Park reassigns Medicare benefits to Lpch Medical Group Div Of Lucile (Palo Alto, 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 Daniel 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 Daniel Park was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.