Individual provider Active NPI

David Rae Park, MD

  • Family Medicine Physician
  • Seal Beach, CA
National Provider Identifier
1003855313
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G155980 Issued in CA
Practice address
1661 Golden Rain Rd
Seal Beach, CA 90740-4907
Phone
(562) 493-9581
Fax
(562) 795-6389
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G155980 CA Primary

Addresses

Primary practice location

1661 Golden Rain Rd
Seal Beach, CA 90740-4907

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Other practice location 1

8041 Newman Ave
Huntington Beach, CA 92647
Phone (888) 499-9303

Other identifiers 3

IdentifierTypeStateIssuer
270681400MedicaidFL
P00223219OtherRAILROAD MEDICARE
48609OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190916000807 CA Practitioner - Family Practice 8921077157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centers for Family Medicine GPGroup PAC ID 9931143799, 87 clinicians
Healthcare Partners Affiliates Medical GroupGroup PAC ID 7315842002, 775 clinicians

Practice addresses (Care Compare)

10601 Walker St
Suite 250
Cypress, CA 90630-4733
Phone (714) 252-8311

1661 Golden Rain Rd
Seal Beach, CA 90740-4907
Phone (562) 493-9581

Hospital & facility affiliations

  • Grace Home Health Care Home health agency, Long Beach, CA, CCN 557613
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G155980CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Family Medicine GP Family Medicine CurrentSince Sep 30, 2019 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 1, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 1, 2025 Accepting new patients
Altamed Health Network Inc Current Accepting new patients
Florida Hospital Zephyrhills Inc Past Accepting new patients
Florida Hospital Zephyrhills Inc Past Accepting new patients
Florida Hospital Medical Group Inc Past Accepting new patients
Florida Hospital Zephyrhills Inc Past Accepting new patients
Adventist Health System-Sunbelt, Inc Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

10601 Walker St
Ste 250
Cypress, CA 90630
Phone (562) 493-2266

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

1661 Golden Rain Rd
Seal Beach, CA 90740
Phone (562) 493-9581

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: david.park.p33@direct.monarchhealthcare.nextgenshare.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1003855313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 GOLDEN RAIN RD",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907404907",
            "telephone_number": "562-493-9581",
            "fax_number": "562-795-6389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8041 Newman Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "92647",
            "country_code": "US",
            "telephone_number": "888-499-9303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "DAVID",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G155980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270681400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00223219",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "48609",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

Verify at the official NPI Registry.