Active NPI
Edward J Park, MD
- Anesthesiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A85265
- Practice address
- 10833 Le Conte Ave
Los Angeles, CA 90095-3075 - Phone
- (503) 372-2740
- Fax
- (503) 372-2754
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A85265 | CA | Primary |
Addresses
Primary practice location
10833 Le Conte Ave
Los Angeles, CA 90095-3075
Mailing address
File 4501
Los Angeles, CA 90074-0001
Phone (503) 372-2740
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone (310) 825-9111
Hospital & facility affiliations
- Ronald Reagan UCLA Medical Center
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.47 of 100
- Quality
- 93.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85265 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Anesthesiology | Current | Accepting new patients |
| Regents of the University of California | Anesthesiology | Current | Accepting new patients |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| The Regents of the University of California | Past | Accepting new patients | |
| General Anesthesia Specialists Partnership Medical Group | Anesthesiology | Past | Accepting new patients |
| The Regents of the University of California | Past | Accepting new patients | |
| UCLA Medical Group | Past | Accepting new patients |
Locations
10833 Le Conte Ave
Los Angeles, CA 90095
Phone (310) 301-8932
757 Westwood Plz
Ste 3325
Los Angeles, CA 90095
Phone (310) 267-8626
757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448
File 4501
Los Angeles, CA 90074
1245 16th St
Santa Monica, CA 90404
Phone (310) 794-1841
100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500
Interoperability endpoints
- epark32021@direct.uclahealth.org
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1326096165
-
- Pain Medicine Physician
- Los Angeles, CA
- NPI 1699224808
Anesthesiology
-
- Anesthesiology Physician
- West Hollywood, CA
- NPI 1407805310
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1235107566
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720036080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 4501",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900740001",
"telephone_number": "503-372-2740",
"fax_number": "503-372-2754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10833 LE CONTE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900953075",
"telephone_number": "503-372-2740",
"fax_number": "503-372-2754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "EDWARD",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A85265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.