Daniel Park

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

316942 Issued in NY

Practice address

9808 Venice Blvd Ste 400
Culver City, CA 90232-6807

Phone

(310) 838-0202

Fax

(310) 838-8694

NPI assigned

Mar 29, 2018

Sex

Male

Sole proprietor

No

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

Ophthalmology

Education

University of Pittsburgh School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Los Angeles Vision Center IncGroup PAC ID 9638185572, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135
• Lac/Harbor-UCLA Med Center Hospital, Torrance, CA, CCN 050376

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: dpark2092216@nychhc.direct-ci.com
• Direct secure messaging: dpark@aei.intellechartdirect.net

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.

• Los Angeles Vision Center, Inc.

  • Ophthalmology Physician
  • Culver City, CA
  • NPI 1275566267
  Medicare reassignment Care Compare group NPD
• Good Samaritan Hospital, L.P.

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1376595777
  NPD (past)
• New York City Health and Hospitals Corporation

  • General Acute Care Hospital
  • New York, NY
  • NPI 1073535027
  NPD (past)

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

• County of Los Angeles

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1477574838
  Care Compare affiliation
• Southern California Healthcare System, Inc

  • General Acute Care Hospital
  • Hollywood, CA
  • NPI 1023010113
  Care Compare affiliation

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1558866798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD STE 400",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326807",
            "telephone_number": "310-838-0202",
            "fax_number": "310-838-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD STE 400",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326807",
            "telephone_number": "310-838-0202",
            "fax_number": "310-838-8694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19000 Hawthorne Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905031517",
            "country_code": "US",
            "telephone_number": "310-838-0202",
            "fax_number": "310-838-8694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "NY",
            "license": "316942",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "316942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Elizabeth Pardo
• Jessica L Parel, RN-BSN, CSN, PHN
• Amar Gaurang Parikh, M.D.
• Park Century School
• Daniel Park
• Julie A Park
• Shin Young Park
• Sungyool Park
• Allison Lea Parker, MFT
• David Parker

• Ophthalmology Physician in Culver City, CA
• Providers in Culver City, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.