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MINJUNG PARK
NPI 1952126815
Nurse Practitioner - Family in Santa Clarita, CA

Active since November 16, 2024PECOS EnrolledAccepts Medicare Assignment
28431 MAYFAIR DR, SANTA CLARITA, CA 91354(213) 703-4624 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 26, 2025, Nov 16, 2024 (2 updates tracked since 2024).

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

NPI1952126815
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMINJUNG PARK
Location Address28431 MAYFAIR DRSanta Clarita, CA 91354-1521
Mailing Address28431 Mayfair DrSanta Clarita, CA 91354-1521 · (213) 507-5903
Phone(213) 703-4624
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 16, 2024
Last NPPES UpdateFebruary 26, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1952126815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95031281
28431 MAYFAIR DR, Santa Clarita, CA 91354
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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

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.

PECOS PAC ID7618407743
PECOS Enrollment IDI20250205000791
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Minjung Park reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vital Medical Group, Inc
25 mi
Family Medicine
1314 W GLENOAKS BLVD STE 205
Glendale, CA 91201
  • Reassigned Medicare billing, California enrollment
  • 23 clinicians in this Medicare group
NPI 1124886437 (818) 396-5158
Onyx Medical Group Inc
46 mi
Primary Care
13443 TELEGRAPH RD
Whittier, CA 90605
  • Reassigned Medicare billing, California enrollment
  • 22 clinicians in this Medicare group
NPI 1851191019 (951) 346-0041
Remedial Patients Care Inc
71 mi
Primary Care
1451 RIMPAU AVE STE 213
Corona, CA 92879
  • Reassigned Medicare billing, California enrollment
  • 32 clinicians in this Medicare group
NPI 1508507229 (951) 268-6272
Joon Suh Do Inc
74 mi
Internal Medicine
23141 VERDUGO DR STE 201
Laguna Hills, CA 92653
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
NPI 1033975891 (949) 215-5055

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 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.

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
$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.

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.

Which organizations bill Medicare for Minjung Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Minjung Park reassigns Medicare benefits to 4 organizations: Vital Medical Group, Inc (Glendale, CA), Onyx Medical Group Inc (Whittier, CA), Remedial Patients Care Inc (Corona, CA) and Joon Suh Do Inc (Laguna Hills, 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 Minjung 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 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 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.