Hans Park, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A92398 Issued in CA

Practice address

3002 Dow Ave
#204
Tustin, CA 92780-7233

Phone

(714) 368-0800

Fax

(888) 353-6442

NPI assigned

Nov 20, 2006

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

Anesthesiology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates of California, PC

  • General Practice Physician
  • San Francisco, CA
  • NPI 1124685169
  Medicare reassignment NPD
• Vohra Wound Physicians of Ca, P.C.

  • Family Medicine Physician
  • Dinuba, CA
  • NPI 1841599339
  Medicare reassignment NPD
• Vital Total Health Medical Group, Inc.

  • Multi-Specialty Clinic/Center
  • Walnut Creek, CA
  • NPI 1386107928
  Medicare reassignment

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1386718377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 DOW AVE",
            "address_2": "#204",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807233",
            "telephone_number": "714-368-0800",
            "fax_number": "888-353-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 DOW AVE",
            "address_2": "#204",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807233",
            "telephone_number": "714-368-0800",
            "fax_number": "888-353-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HANS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A92398",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A92398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher C Park, CPO
• Dongsuk Park, D.D.S.
• Dyani Park, RBT, BA
• Ellie Hee Young Park
• Eunice Hayme Park, CCC-SLP
• Joe W Park, DC, CCSP
• John Park, DC
• Jumi Park
• Paul Park, LMFT
• Rack Joon Park, L.AC

• General Practice Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.