PETER H PARK MD INC
NPI 1942447701
Specialist in Los Angeles, CA
About Peter H Park Md Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETER H PARK MD INC (NPI 1942447701) is a healthcare organization registered as a specialist in Los Angeles, California and active in the NPI registry since January 2009. The organization lists Peter H Park, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peter H Park Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Peter H Park MD Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Peter H Park MD Inc's NPI number?
The NPI number for Peter H Park MD Inc is 1942447701. It was assigned to this organization in the NPPES registry on January 15, 2009.
Where is Peter H Park MD Inc located?
Peter H Park MD Inc is located at 3456 W. Olympic Blvd. 101, Los Angeles, CA 90019. The listed phone number is (213) 386-3450.
What is Peter H Park MD Inc's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Peter H Park MD Inc enrolled in Medicare?
Yes. Peter H Park MD Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peter H Park MD Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Peter H Park MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Peter H Park MD Inc was last updated on December 13, 2022. 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.
# Peter H Park Md Inc · NPI 1942447701
Specialist organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since January 15, 2009.
## Identity
- **NPI:** 1942447701 (Entity type: Organization)
- **Enumerated:** January 15, 2009
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Peter Park, PRESIDENT
## Practice location
- **Address:** 3456 W. OLYMPIC BLVD., 101, Los Angeles, CA 90019-2124
- **Phone:** (213) 386-3450 · **Fax:** (213) 386-3457
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Obstetrics/Gynecology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1942447701) · Data from the CMS NPPES public registry.