Lydia Somi Park

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A166501 Issued in CA

Practice address

7750 Dagget St Ste 211
San Diego, CA 92111-2236

Phone

(619) 432-7996

Fax

(206) 593-5185

NPI assigned

May 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lpark77835@scrippshlth.medalliesdirect.net

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.

• Primomd, Inc

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1366196396
  Medicare reassignment NPD
• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1235620287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 DAGGET ST STE 211",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112236",
            "telephone_number": "619-432-7996",
            "fax_number": "206-593-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 DAGGET ST STE 211",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112236",
            "telephone_number": "619-432-7996",
            "fax_number": "206-593-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "LYDIA",
        "middle_name": "SOMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A166501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Rose Murray Park, M.A. LMFT
• Karis Park
• Kelsie Park
• Keon Young Park, M.D.,PH.D.
• Kwang Seo Park, D.D.S.
• Nan Williams Park, RN
• Nicole Sinae Park
• Paul Park, PHARMD
• Paula Park, PHARMD, PHD
• Peter Joonsun Park, M.D.

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.