Ellie Hee Young Park

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

615921 Issued in NY

Practice address

16450 Veterans Way Unit 203
Tustin, CA 92782-2843

Phone

(917) 532-0537

NPI assigned

Oct 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Hee Young Park Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Farnad Medical CorporationGroup PAC ID 7810307998, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Farnad Medical Corporation

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1083258362
  Medicare reassignment Care Compare group NPD
• Olympic Anesthesia Partnership

  • Anesthesiology Physician
  • Beverly Hills, CA
  • NPI 1881707586
  Medicare reassignment NPD
• Harlem Medical Associates PC

  • General Practice Physician
  • New York, NY
  • NPI 1487957692
  NPD
• North Shore - Lij Anesthesiology, PC

  • Anesthesiology Physician
  • Chappaqua, NY
  • NPI 1417401266
  NPD

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1639711880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16450 VETERANS WAY UNIT 203",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927822843",
            "telephone_number": "917-532-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16450 VETERANS WAY UNIT 203",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927822843",
            "telephone_number": "917-532-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ELLIE",
        "middle_name": "HEE YOUNG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "615921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEE YOUNG",
            "last_name": "PARK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Paquette, D.D.S.
• Yasmeen Pardo
• Christopher C Park, CPO
• Dongsuk Park, D.D.S.
• Dyani Park, RBT, BA
• Eunice Hayme Park, CCC-SLP
• Hans Park, MD
• Joe W Park, DC, CCSP
• John Park, DC
• Jumi Park

• Registered Nurse in Tustin, CA
• Providers in Tustin, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.