MINJUNG PARK
NPI 1952126815
Nurse Practitioner - Family in Santa Clarita, CA
About Minjung Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINJUNG PARK (NPI 1952126815) is an individual family provider in Santa Clarita, California, licensed in California (95031281) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Minjung 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91354 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 Minjung Park's NPI number?
The NPI number for Minjung Park is 1952126815. It was assigned to this individual provider in the NPPES registry on November 16, 2024.
Where is Minjung Park located?
Minjung Park practices at 28431 Mayfair Dr, Santa Clarita, CA 91354. The listed phone number is (213) 703-4624.
What is Minjung Park's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Minjung Park enrolled in Medicare?
Yes. Minjung 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 Minjung Park was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Minjung Park · NPI 1952126815
Family physician in Santa Clarita, California. Individual provider, active in the CMS NPPES registry since November 16, 2024.
## Identity
- **NPI:** 1952126815 (Entity type: Individual)
- **Enumerated:** November 16, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95031281 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 28431 MAYFAIR DR, Santa Clarita, CA 91354-1521
- **Phone:** (213) 703-4624
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1952126815) · Data from the CMS NPPES public registry.