Joo Hyun Park, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

54977 Issued in CA

Practice address

555 E Hardy St
Inglewood, CA 90301-4011

Phone

(310) 919-4179

NPI assigned

Oct 2, 2017

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wound Center IncGroup PAC ID 3870030141, 6 clinicians

Michael Decker DO, Inc.Group PAC ID 9830481746, 23 clinicians

Altea Medical California PCGroup PAC ID 1850740150, 84 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centinela Hospital Medical Center Hospital, Inglewood, CA, CCN 050739
• Sherman Oaks Hospital Hospital, Sherman Oaks, CA, CCN 050755

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Altea Medical California PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Eureka, CA
  • NPI 1174302954
  Medicare reassignment Care Compare group
• Michael Decker, DO, Inc

  • Skilled Nursing Facility
  • Hermosa Beach, CA
  • NPI 1528410842
  Medicare reassignment Care Compare group
• Wound Center Inc

  • Plastic and Reconstructive Surgery Physician
  • Beverly Hills, CA
  • NPI 1174362818
  Medicare reassignment Care Compare group
• Compass Palliative Care, Inc

  • Hospice and Palliative Medicine (Surgery) Physician
  • Burbank, CA
  • NPI 1124693924
  Medicare reassignment
• Wound Institute of America

  • Plastic Surgery Physician
  • Beverly Hills, CA
  • NPI 1437505393
  Medicare reassignment

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

• Prime Healthcare Centinela, LLC

  dba Centinela Hospital Medical Center

  • General Acute Care Hospital
  • Inglewood, CA
  • NPI 1336328244
  Care Compare affiliation
• Prime Healthcare Services - Sherman Oaks, LLC

  dba Sherman Oaks Hospital

  • General Acute Care Hospital
  • Sherman Oaks, CA
  • NPI 1750491247
  Care Compare affiliation

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1508376872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 CARMELYNN ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E HARDY ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014011",
            "telephone_number": "310-919-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JOO HYUN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paradigm Vision Care Medical Associates
• Parcps LLC
• Parenting Advocates First
• Allison Park, PHARMD
• Jean Kim Park
• Kelly Park
• Yulie J Park, PA
• Cassandra Marie Parker
• Savannah Parker, LVN
• Parklane Medical Group

• Physician Assistant in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.
• 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.