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JOANNE HYEWON PARK
NPI 1912684440
Physician Assistant in Fullerton, CA

Active since June 27, 2023PECOS EnrolledAccepts Medicare Assignment
2575 YORBA LINDA BLVD, FULLERTON, CA 92831(714) 992-7808 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joanne Hyewon Park NPPES

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

JOANNE HYEWON PARK (NPI 1912684440) is an individual physician assistant in Fullerton, California and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1912684440
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJOANNE HYEWON PARK
Location Address2575 YORBA LINDA BLVDFullerton, CA 92831-1615
Mailing Address2575 Yorba Linda BlvdFullerton, CA 92831-1615 · (714) 992-7808
Phone(714) 992-7808
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 27, 2023
Last NPPES UpdateDecember 18, 2024
NPPES CertifiedDecember 18, 2024
✔ NPI 1912684440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2575 YORBA LINDA BLVD, Fullerton, CA 92831
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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

Joanne Hyewon Park 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 ID4385165505
PECOS Enrollment IDI20250304003518
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92831 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 20

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

RACHEL JONES
Physician Assistant (Medical)
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400
ONELKA DEVHARA DUNSFORD
Student in an Organized Health Care Education/Training Program
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400
HANNAH HAHN
Physician Assistant
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400
AMY WU
Physician Assistant
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (213) 550-7936
CASSIDY SPILLETT
Student in an Organized Health Care Education/Training Program
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400
DR. REGINA SEEN WON GARRIOTT O.D.
Optometrist
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 992-7870
GUADALUPE VEGA
Student in an Organized Health Care Education/Training Program
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400
RILEY BENNYWORTH
Student in an Organized Health Care Education/Training Program
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400

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 Joanne Park's NPI number?

The NPI number for Joanne Park is 1912684440. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Joanne Park located?

Joanne Park practices at 2575 Yorba Linda Blvd, Fullerton, CA 92831. The listed phone number is (714) 992-7808.

What is Joanne Park's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Joanne Park enrolled in Medicare?

Yes. Joanne 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.

When was this NPI record last updated?

The NPPES record for Joanne Park was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.