Christine Lim-Fun Chan Park, M.D., MPH

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A74636 Issued in CA

Practice address

1600 San Fernando Rd
San Fernando, CA 91340-3115

Phone

(818) 365-8086

Fax

(818) 898-4826

NPI assigned

Aug 4, 2005

Last updated

Jul 13, 2026By the provider in NPPES

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

Other names 1

• Christine Lim-Fun Chan Former name

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

Pediatric Medicine

Education

University of California, Geffen School of Medicine, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Northeast Valley Health CorporationGroup PAC ID 3173517323, 77 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: christine.park.p1@direct.nevhc.nextgenshare.com

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Northeast Valley Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Sun Valley, CA
  • NPI 1013199264

  Corporate Officer

  CMS ownership
• Northeast Valley Health Corporation

  dba Pacoima Health Center

  • Federally Qualified Health Center (FQHC)
  • Pacoima, CA
  • NPI 1114928595

  Corporate Officer

  CMS ownership
• Northeast Valley Health Corporation

  dba San Fernando Health Center

  • Federally Qualified Health Center (FQHC)
  • San Fernando, CA
  • NPI 1235130600

  Corporate Officer

  CMS ownership
• Northeast Valley Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Santa Clarita, CA
  • NPI 1558693655

  Corporate Officer

  CMS ownership
• Northeast Valley Health Corporation

  dba Van Nuys Adult Health Center

  • Federally Qualified Health Center (FQHC)
  • Van Nuys, CA
  • NPI 1629079009

  Corporate Officer

  CMS ownership
• Northeast Valley Health Corporation

  dba Mobile Health Center

  • Federally Qualified Health Center (FQHC)
  • San Fernando, CA
  • NPI 1679332647

  Corporate Officer

  CMS ownership
• Northeast Valley Health Corporation

  dba Canoga Park Health Center

  • Federally Qualified Health Center (FQHC)
  • Canoga Park, CA
  • NPI 1740281120

  Corporate Officer

  CMS ownership
• Northeast Valley Health Corporation

  • Federally Qualified Health Center (FQHC)
  • San Fernando, CA
  • NPI 1740437961

  Corporate Officer

  CMS ownership
• Northeast Valley Health Corporation

  dba Pacoima Women's Health Center

  • Federally Qualified Health Center (FQHC)
  • Pacoima, CA
  • NPI 1801399860

  Corporate Officer

  CMS ownership
• Northeast Valley Health Corporation

  dba Transitions to Wellness-North Hollywood Health Center

  • Federally Qualified Health Center (FQHC)
  • North Hollywood, CA
  • NPI 1902467574

  Corporate Officer

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeast Valley Health Corporation

  dba Van Nuys Adult Health Center

  • Federally Qualified Health Center (FQHC)
  • Van Nuys, CA
  • NPI 1629079009
  Medicare reassignment Care Compare group NPD
• Northeast Valley Health Corporation

  dba Pediatric Health and Wic Center

  • Federally Qualified Health Center (FQHC)
  • Van Nuys, CA
  • NPI 1093716474
  NPD
• Northeast Valley Health Corporation

  dba SCV Dental and Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Santa Clarita, CA
  • NPI 1548960834
  NPD

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790786341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 N MACLAY AVE",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913401328",
            "telephone_number": "818-898-1388",
            "fax_number": "818-365-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SAN FERNANDO RD",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403115",
            "telephone_number": "818-365-8086",
            "fax_number": "818-898-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "CHRISTINE",
        "middle_name": "LIM-FUN CHAN",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A74636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "CHAN",
            "middle_name": "LIM-FUN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gokuldas M Pai, M.D.
• Spencer Palache
• Dave Palafox-Velarde, B.S.
• Christine Palencia
• Samantha Marie Pariente
• Rosio Parra
• Hafiz Ulrehman Parray, MD
• Partners in Care Foundation
• Partners in Care Foundation
• Partners in Care Foundation

• Pediatrics Physician in San Fernando, CA
• Providers in San Fernando, CA by specialty
• Pediatrics Physician in California

• 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; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.