Active NPI
Eugene Park, M.D.
- Emergency Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A132213
- Practice address
- 1200 N State St RM 1060H
Lac-Usc Medical Center
Los Angeles, CA 90033-1029 - Phone
- (323) 226-2828
- Fax
- (323) 226-6454
- NPI assigned
- Aug 29, 2014
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A132213 | CA | Primary |
Addresses
Primary practice location
1200 N State St RM 1060H
Lac-Usc Medical Center
Los Angeles, CA 90033-1029
Mailing address
1200 N State St RM 1060H
Lac-Usc Medical Center
Los Angeles, CA 90033-1029
Phone (323) 226-2828
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
- Emergency Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 N Vermont Ave
Los Angeles, CA 90027-6098
Phone (310) 379-2134
Hospital & facility affiliations
- Hollywood Presbyterian Medical Center
- Corona Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.35 of 100
- Quality
- 81.59
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132213 | CA | MD | Clinical Social Worker |
| A132213 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corona Regional Emergency Medical Associates Inc | Emergency Medicine | Current | Accepting new patients |
| Telemedicine365 Inc | Emergency Medicine | Current | Accepting new patients |
| Chino Emergency Medical Associates, Inc. | Emergency Medicine | Current | Accepting new patients |
| Tarzana Emergency Medical Associates | Emergency Medicine | Current | Accepting new patients |
| Hollywood Presbyterian Emergency Medical Associates, Inc. | Emergency Medicine | Current | Accepting new patients |
Locations
5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600
800 S Main St
Corona, CA 92882
Phone (909) 625-5411
1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000
18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1972826931
-
- Emergency Medicine Physician
- Chino, CA
- NPI 1013282029
-
- Emergency Medicine Physician
- Corona, CA
- NPI 1134629298
-
- Emergency Medicine Physician
- Tarzana, CA
- NPI 1235176702
-
- Emergency Medicine Physician
- West Hills, CA
- NPI 1275761249
-
- Emergency Medicine Physician
- El Segundo, CA
- NPI 1912525817
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922033547
-
- General Acute Care Hospital
- Corona, CA
- NPI 1457347239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1104226935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N STATE ST RM 1060H",
"address_2": "LAC-USC MEDICAL CENTER",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331029",
"telephone_number": "323-226-2828",
"fax_number": "323-226-6454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N STATE ST RM 1060H",
"address_2": "LAC-USC MEDICAL CENTER",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331029",
"telephone_number": "323-226-2828",
"fax_number": "323-226-6454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "EUGENE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-29",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A132213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.