Charles Park, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A51947 Issued in CA

Practice address

24723 Calle Largo
Calabasas, CA 91302-3014

Phone

(818) 577-5654

NPI assigned

Jun 23, 2006

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

Other identifiers 1

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

AnesthesiologyAlso: Interventional Pain Management

Education

Tulane University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Valley Medical GroupGroup PAC ID 3577465368, 104 clinicians

VP Anesthesia Partners IncGroup PAC ID 6002283363, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Presbyterian Hospital Hospital, Van Nuys, CA, CCN 050126

Merit-based Incentive Payment System (MIPS)

Final score

90.45 of 100Reported as group

Quality

77

Improvement activities

40

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.

• Pacific Valley Medical Group

  • Anesthesiology Physician
  • Pasadena, CA
  • NPI 1851312862
  Medicare reassignment Care Compare group NPD
• VP Anesthesia Partners, Inc

  • Anesthesiology Physician
  • Van Nuys, CA
  • NPI 1518694173
  Medicare reassignment Care Compare group NPD
• Health Alliance Socal, Inc

  • Psychiatry Physician
  • Inglewood, CA
  • NPI 1184343055
  NPD (past)

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

• Valley Presbyterian Hospital

  • General Acute Care Hospital
  • Van Nuys, CA
  • NPI 1578529285
  Care Compare affiliation

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1669408571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24723 CALLE LARGO",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913023014",
            "telephone_number": "818-577-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24723 CALLE LARGO",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913023014",
            "telephone_number": "818-577-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A51947",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A51947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00A519471",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sahar Sara Panhasi
• Jake Panikowski
• Emma Kathryn Paranick
• Laura L. Paris, OMD, LAC
• Park Elite Detox LLC
• Charlene Parker, RN, NP-BC
• Krista Parker, M.A., AMFT, APCC
• Parkway Pediatric Medical Group Inc
• Parkway Surgery Center LLC
• Melissa Pascual, M.A.

• Anesthesiology Physician in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.