ANNIE PARK M.D
NPI 1912384025
Internal Medicine in Loma Linda, CA
About Annie Park M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNIE PARK M.D (NPI 1912384025) is an individual internal medicine provider in Loma Linda, California, licensed in California (A144866) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
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
Annie Park M.d 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
4Medicare enrollment records show Annie Park reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fontana, CA 92335
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
La Jolla, CA 92037
- Reassigned Medicare billing, California enrollment
- 278 clinicians in this Medicare group
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 1,437 clinicians in this Medicare group
San Diego, CA 92109
- Reassigned Medicare billing, California enrollment
- 1,100 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.
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.
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 Annie Park's NPI number?
The NPI number for Annie Park is 1912384025. It was assigned to this individual provider in the NPPES registry on April 28, 2015.
Where is Annie Park located?
Annie Park practices at 11175 Campus Street, Csp 11015, Loma Linda, CA 92354. The listed phone number is (909) 558-4910.
What is Annie Park's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Annie Park enrolled in Medicare?
Yes. Annie 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 Annie Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Annie Park reassigns Medicare benefits to 4 organizations: Southern California Permanente Medical Group (Fontana, CA), Scripps Health Inpatient Providers Medical Group Inc. (La Jolla, CA), Emergency And Acute Care Medical Corporation (San Diego, CA) and Family Health Centers Of San Diego, Inc (San Diego, CA). 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 Annie 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 Annie Park was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Annie Park, M.D · NPI 1912384025
Internal Medicine physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since April 28, 2015.
## Identity
- **NPI:** 1912384025 (Entity type: Individual)
- **Enumerated:** April 28, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** A144866 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11175 CAMPUS STREET, CSP 11015, Loma Linda, CA 92354
- **Phone:** (909) 558-4910
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1689606196, Fontana, CA); Scripps Health Inpatient Providers Medical Group Inc. (NPI 1699043000, La Jolla, CA); Emergency And Acute Care Medical Corporation (NPI 1437103942, San Diego, CA); Family Health Centers Of San Diego, Inc (NPI 1386689701, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1912384025) · Data from the CMS NPPES public registry.