BENJAMIN PARK MD, PHD
NPI 1992267587
Student in an Organized Health Care Education/Training Program in Stanford, CA
About Benjamin Park Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN PARK MD, PHD (NPI 1992267587) is an individual student in an organized health care education/training program in Stanford, California and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Illinois Medical College (2019).
NPPES Registry Identity
Specialties & Licenses
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
Benjamin Park Md, Phd 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.
Medicare Billing Reassignments
3Medicare enrollment records show Benjamin Park reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bakersfield, CA 93312
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1275756652 (California)
- 5,228 clinicians in this Medicare group
Newport Beach, CA 92663
- Reassigned Medicare billing, California enrollment
- 64 clinicians in this Medicare group
Newport Beach, CA 92660
- Reassigned Medicare billing, California enrollment
- 74 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
STANFORD, CA 94305
STANFORD, CA 94305
STANFORD, CA 94305
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 Benjamin Park's NPI number?
The NPI number for Benjamin Park is 1992267587. It was assigned to this individual provider in the NPPES registry on April 2, 2019.
Where is Benjamin Park located?
Benjamin Park practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 497-5415.
What is Benjamin Park's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Benjamin Park enrolled in Medicare?
Yes. Benjamin 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 Benjamin Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Park reassigns Medicare benefits to 3 organizations: Southern California Permanente Medical Group (Bakersfield, CA), Newport Harbor Radiology Associates Medical Group, Inc (Newport Beach, CA) and Newport Center Radiology Associates Medical Group Inc (Newport Beach, 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 Benjamin 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 Benjamin Park was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Benjamin Park, MD, PHD · NPI 1992267587
Student in an Organized Health Care Education/Training Program provider in Stanford, California. Individual provider, active in the CMS NPPES registry since April 2, 2019.
## Identity
- **NPI:** 1992267587 (Entity type: Individual)
- **Enumerated:** April 2, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 300 PASTEUR DR, Stanford, CA 94305-2200
- **Phone:** (650) 497-5415
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1316572753, Bakersfield, CA); Newport Harbor Radiology Associates Medical Group, Inc (NPI 1053355792, Newport Beach, CA); Newport Center Radiology Associates Medical Group Inc (NPI 1013951714, Newport Beach, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois Medical College, class of 2019
## Record status
- **NPPES last updated:** September 8, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1992267587) · Data from the CMS NPPES public registry.