JINO PARK D.D.S
NPI 1912246356
Dentist in Loma Linda, CA

Active since February 05, 2013PECOS Enrolled
24950 REDLANDS BLVD STE B, LOMA LINDA, CA 92354(909) 478-9777 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2025, Aug 24, 2023, Feb 24, 2020 and 1 more (4 updates tracked since 2016).

About Jino Park D.d.s NPPES

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

JINO PARK D.D.S (NPI 1912246356) is an individual dentist in Loma Linda, California, licensed in California (62028) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912246356
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJINO PARKCredential: D.D.S
Location Address24950 REDLANDS BLVD STE BLoma Linda, CA 92354-4028
Mailing Address106 RotundaIrvine, CA 92620-7325 · (909) 969-3503
Sole ProprietorNo
Enumeration DateFebruary 5, 2013
Last NPPES UpdateMay 21, 20254 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
NPI 1912246356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 62028
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
24950 REDLANDS BLVD STE B, Loma Linda, CA 92354

Secondary Practice Locations 2

Location 1106 RotundaIrvine, CA 92620-7325 · Phone (909) 969-3503
Location 222611 Lake Forest Dr Ste C5Lake Forest, CA 92630-1700 · Phone (909) 969-3503

Accepted 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)

Jino Park D.d.s 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.

Areas of Expertise CMS Part B claims 37

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
300 services67 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
194 services83 patients
Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet 15574
A flap graft is a surgical procedure where skin and tissue are moved from one area of the body to another. This is often done to repair areas affected by injury, disease, or surgery. The procedure helps restore function and appearance to the targeted region.
158 services66 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
156 services79 patients
Harvest of patient bone marrow for transplantation 38232
Harvesting bone marrow for transplantation involves taking a small amount of bone marrow from your body under anesthesia. This marrow, rich in stem cells, can help regenerate healthy blood cells in individuals with certain diseases. It's a critical step in the transplant process.
148 services55 patients
Drawing of blood for a medical problem 99195
Drawing blood is a simple procedure where a needle is inserted into a vein, usually in your arm, to collect a small sample. This sample helps in diagnosing any medical issues you may have. You might feel a small prick, but overall, it's a quick and safe process.
146 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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 2

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

Clinic/Center (Dental)
24950 REDLANDS BLVD STE B
LOMA LINDA, CA 92354
Dentist
24950 REDLANDS BLVD STE B
LOMA LINDA, CA 92354

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 Jino Park's NPI number?

The NPI number for Jino Park is 1912246356. It was assigned to this individual provider in the NPPES registry on February 5, 2013.

Where is Jino Park located?

Jino Park practices at 24950 Redlands Blvd Ste B, Loma Linda, CA 92354. The listed phone number is (909) 478-9777.

What is Jino Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jino Park enrolled in Medicare?

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

What insurance does Jino Park accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Jino 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 Jino Park was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.