James Park, D.O.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

20A16232 Issued in CA

Practice address

520 Superior Ave Ste 205
Newport Beach, CA 92663-3667

Phone

(949) 764-4006

Fax

(949) 764-7398

NPI assigned

Sep 7, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Neurology

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of MontereyGroup PAC ID 2466345632, 186 clinicians

Vivek a Mehta MD IncGroup PAC ID 9830528801, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
• Natividad Medical Center Hospital, Salinas, CA, CCN 050248

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Vivek a Mehta MD Inc

  • Neurological Surgery Physician
  • Irvine, CA
  • NPI 1770112039

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• County of Monterey

  • General Acute Care Hospital
  • Salinas, CA
  • NPI 1205863255
  Medicare reassignment Care Compare group
• Community Hospital of the Monterey Peninsula

  • General Acute Care Hospital
  • Monterey, CA
  • NPI 1225285810

  Multi-Specialty

  Medicare reassignment NPD
• Community Hospital of the Monterey Peninsula

  • General Acute Care Hospital
  • Monterey, CA
  • NPI 1932197258
  NPD

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

• County of Monterey

  • General Acute Care Hospital
  • Salinas, CA
  • NPI 1205863255
  Care Compare affiliation
• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  Care Compare affiliation

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1114276854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 WINDSWEPT",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926180853",
            "telephone_number": "267-258-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE STE 205",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633667",
            "telephone_number": "949-764-4006",
            "fax_number": "949-764-7398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16305 Sand Canyon Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926183784",
            "country_code": "US",
            "telephone_number": "949-764-4006",
            "fax_number": "949-764-7398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hoag Dr",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926634162",
            "country_code": "US",
            "telephone_number": "949-764-1405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-07",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "20A16232",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "20A16232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Superior Healthcare,LLC
• Christopher Park
• Dong Jun John Park, M.D.
• Hannah Park
• Hayley Sang Bee Park
• Norela Vanessa Park, PHARMD
• One I Park
• Samuel K. Park, M.D.
• William Park, M.D.
• Francesca Lynn Parker, PSY.D.

• Neurology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.

Verify at the official NPI Registry.