Individual provider Active NPI

Dorothy J. Park, M.D.

  • Hematology & Oncology Physician
  • Beverly Hills, CA
National Provider Identifier
1083610596
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G64946 Issued in CA
Practice address
9090 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211-1850
Phone
(310) 888-8680
Fax
(310) 888-1886
NPI assigned
Jun 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X G64946 CA Primary

Addresses

Primary practice location

9090 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211-1850

Mailing address

9090 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211-1850
Phone (310) 888-8680

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
I20070126000690 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 6709887169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G64946CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Nov 1, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Tower Hematology Oncology Medical Group Past Accepting new patients

Locations

9090 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211
Phone (310) 888-8680

9090 Wilshire Blvd
Ste 300
Beverly Hills, CA 90211
Phone (310) 888-8680

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1083610596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 WILSHIRE BLVD",
            "address_2": "STE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111850",
            "telephone_number": "310-888-8680",
            "fax_number": "310-888-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 WILSHIRE BLVD",
            "address_2": "STE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111850",
            "telephone_number": "310-888-8680",
            "fax_number": "310-888-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "DOROTHY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G64946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.