DR. KYUNG I. PARK M.D.
NPI 1942210570
Psychiatry & Neurology - Neurology in Stanton, CA

Q: What is Kyung Park's NPI number?

The NPI number for Kyung Park is 1942210570. It was assigned to this individual provider in the NPPES registry on August 8, 2006. The provider is also known as Dr. Kyung Il Park M.D..

Q: What is Kyung Park's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Kyung Park was last updated on April 30, 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.

Active since August 08, 2006PECOS Enrolled

12362 BEACH BLVD, #10, STANTON, CA 90680(714) 743-5733(714) 622-4943 Get Directions Write a Review

NPPES record last updated: April 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Kyung I. Park M.d. NPPES

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

DR. KYUNG I. PARK M.D. (NPI 1942210570) is an individual neurology provider in Stanton, California, licensed in California (C50980) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942210570

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. KYUNG I. PARKCredential: M.D.

Location Address12362 BEACH BLVD, #10Stanton, CA 90680-3935

Mailing Address12362 Beach Blvd, #10Stanton, CA 90680-3935 · (714) 248-9500 · Fax (714) 622-4943

Phone(714) 743-5733

Fax(714) 622-4943

Sole ProprietorYes

Enumeration DateAugust 8, 2006

Last NPPES UpdateApril 30, 2023

NPPES CertifiedApril 30, 2023

✔ NPI 1942210570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in CA · C50980

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

12362 BEACH BLVD, Stanton, CA 90680

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Other Names 1

Other Name (5)Dr. Kyung Il Park M.d.

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. Kyung I. Park M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90680 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Other Providers at the Same Location NPPES 3

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

BRYANT LEE D.D.S.

Dentist

12362 BEACH BLVD
STANTON, CA 90680

Orange County (714) 248-9500

RESILIENCE RISING BEHAVIORAL HEALTH

Clinic/Center (Rehabilitation, Substance Use Disorder)

12362 BEACH BLVD
STANTON, CA 90680

Orange County (559) 392-8669

APA HOME HEALTH CARE SERVICES INC

Home Health

12362 BEACH BLVD, SUITE 23
STANTON, CA 90680

Orange County (714) 798-5278

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 Kyung Park's NPI number?

The NPI number for Kyung Park is 1942210570. It was assigned to this individual provider in the NPPES registry on August 8, 2006. The provider is also known as Dr. Kyung Il Park M.D..

Where is Kyung Park located?

Kyung Park practices at 12362 Beach Blvd #10, Stanton, CA 90680. The listed phone number is (714) 743-5733.

What is Kyung Park's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Kyung Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kyung Park was last updated on April 30, 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.