DR. JIN HEWA PARK D.O.
NPI 1992800353
Family Medicine in Claremont, CA

Q: What is Jin Park's NPI number?

The NPI number for Jin Park is 1992800353. It was assigned to this individual provider in the NPPES registry on September 13, 2006. The provider is also known as Dr. Jin Wha Park Do.

Q: What is Jin Park's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jin Park was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 September 13, 2006PECOS Enrolled

250 W SAN JOSE AVE, CLAREMONT, CA 91711(909) 399-2063 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jin Hewa Park D.o. NPPES

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

DR. JIN HEWA PARK D.O. (NPI 1992800353) is an individual family medicine provider in Claremont, California, licensed in California (20A6738) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992800353

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JIN HEWA PARKCredential: D.O.

Location Address250 W SAN JOSE AVEClaremont, CA 91711-5207

Mailing Address19702 Sheila CtRowland Heights, CA 91748-3272 · (909) 598-7147

Phone(909) 399-2063

Sole ProprietorNo

Enumeration DateSeptember 13, 2006

Last NPPES UpdateDecember 23, 2021

NPPES CertifiedDecember 23, 2021

✔ NPI 1992800353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · 20A6738

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

250 W SAN JOSE AVE, Claremont, CA 91711

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Other Names 1

Professional Name (2)Dr. Jin Wha Park Do

Other Identifiers 1

MedicaidFHC11584GCA

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. Jin Hewa Park D.o. 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 91711 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.

Other Providers at the Same Location NPPES 8

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

MONICA HAN

Pharmacist