Active NPI
John W Park, MD
- Medical Oncology Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- G63196
- Practice address
- 1600 Divisadero St
2ND Floor, Box 1710
San Francisco, CA 94115-3010 - Phone
- (415) 353-7070
- Fax
- (415) 353-7021
- NPI assigned
- Apr 13, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | G63196 | CA | Primary |
Addresses
Primary practice location
1600 Divisadero St
2ND Floor, Box 1710
San Francisco, CA 94115-3010
Mailing address
1635 Divisadero St
Ste. 625, Box 1821
San Francisco, CA 94143-0001
Phone (415) 476-4029
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G631960 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Stanford University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
400 Parnassus Ave
San Francisco, CA 94143-2202
Phone (415) 476-1000
400 Parnassus Ave
McB300
San Francisco, CA 94143-0810
Phone (415) 476-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.98 of 100
- Quality
- 73.31
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 62
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.01 of 100
- Quality
- 86.78
- Improvement activities
- 40
- Cost
- 70.46
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.89 of 100
- Quality
- 81.13
- Improvement activities
- 40
- Cost
- 71.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63196 | CA | MD | General Practice Dentistry |
| G63196 | CA | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California SFGH Medical Group | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| University of California SFGH Medical Group | Medical Oncology | Current | Accepting new patients |
| UCSF Medical Group Business Services | Medical Oncology | Current | Accepting new patients |
| University of California San Francisco | Current | Accepting new patients | |
| Regents of the University of California | Medical Oncology | Current | Accepting new patients |
| University of California San Francisco | Current | Accepting new patients | |
| University of California San Francisco Medical Center | Past | Accepting new patients | |
| UCSF | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients |
Locations
1001 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (628) 206-8610
1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774
1635 Divisadero St
Ste 625
San Francisco, CA 94115
Phone (415) 476-1977
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664
400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000
400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-3131
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
Medical Oncology
-
dba UCSF Pediatrics Group
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
dba UCSF Dept of Medicine General Medicine
- Internal Medicine Physician
- San Francisco, CA
- NPI 1760552343
Medical Oncology
-
dba UCSF SFGH Medical Group Dept of Hematology
- Hematology (Internal Medicine) Physician
- San Francisco, CA
- NPI 1326013442
-
dba UCSF Orthotic and Prosthetic Center - Gateway Medical Building
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
dba UCSF Medical Center
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164512851
-
dba UCSF Outpatient Pharmacy at Parnassus
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
dba UCSF SFGH Medical Group Division of Vascular Surgery
- Vascular Surgery Physician
- San Francisco, CA
- NPI 1033913959
-
dba UCSF SFGH Medical Group Dept of Medical Oncology
- Medical Oncology Physician
- San Francisco, CA
- NPI 1386619419
-
dba UCSF Department of Medicine Rheumatology
- Rheumatology Physician
- San Francisco, CA
- NPI 1881763597
-
- Chronic Disease Hospital
- San Francisco, CA
- NPI 1265579916
-
dba UCSF Medical Center Adult Chronic Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Francisco, CA
- NPI 1992818256
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UCSF Medical Center
- General Acute Care Hospital
- San Francisco, CA
- NPI 1689772592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1053375444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 DIVISADERO ST",
"address_2": "STE. 625, BOX 1821",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941430001",
"telephone_number": "415-476-4029",
"fax_number": "415-476-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 DIVISADERO ST",
"address_2": "2ND FLOOR, BOX 1710",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153010",
"telephone_number": "415-353-7070",
"fax_number": "415-353-7021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "CA",
"license": "G63196",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G631960",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.