Active NPI
Kenneth Hyunsoo Park, M.D., M.SC.
- Gastroenterology Physician
- West Hollywood, CA
National Provider Identifier
1245522739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A149954
- Practice address
- 8700 Beverly Blvd
West Hollywood, CA 90048-1804 - Phone
- (310) 423-6082
- NPI assigned
- May 3, 2011
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A149954 | CA | Primary |
Addresses
Primary practice location
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Mailing address
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-6082
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
- Gastroenterology
- Education
- New York University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-3277
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.23 of 100
- Quality
- 77.83
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.17
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 61 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 543 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A149954 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Center | Current | Accepting new patients | |
| Cedars-Sinai Medical Center | Current | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Locations
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Pharmacy
- Los Angeles, CA
- NPI 1376514810
-
- Rehabilitation Hospital Unit
- West Hollywood, CA
- NPI 1952342297
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Multi-Specialty Clinic/Center
- Port Hueneme, CA
- NPI 1659656775
Hospital
-
- Orthopaedic Surgery Physician
- Camarillo, CA
- NPI 1871919126
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587081600000",
"number": "1245522739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8700 BEVERLY BLVD",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900481804",
"telephone_number": "310-423-6082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 BEVERLY BLVD",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900481804",
"telephone_number": "310-423-6082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "KENNETH",
"middle_name": "HYUNSOO",
"name_prefix": "Dr.",
"credential": "M.D., M.SC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-03",
"last_updated": "2020-04-17",
"certification_date": "2020-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A149954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.