Christine Lim-Fun Chan Park, M.D., MPH
Individual provider Active NPI Pediatrics Physician · San Fernando, CA
NPI 1790786341 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1790786341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- A74636 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Owned or controlled facilities with NPI records 10
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- University of California, Geffen School of Medicine, 1999
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Northeast Valley Health Corporation
Practice addresses (Care Compare)
12451 Gain St
Pacoima, CA 91331-1642
Phone (818) 897-2193
12540 Pierce St
Pacoima, CA 91331-1701
Phone (818) 897-2193
12756 Van Nuys Blvd
Pacoima, CA 91331-1626
Phone (818) 896-0531
12759 Van Nuys Blvd
Pacoima, CA 91331-1627
Phone (818) 485-8250
1600 San Fernando Rd
San Fernando, CA 91340-3115
Phone (818) 365-8086
7107 Remmet Ave
Canoga Park, CA 91303-2016
Phone (818) 340-3570
7843 Lankershim Blvd
North Hollywood, CA 91605-2523
Phone (818) 826-5555
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 9
| Facility | Type | Role | Since |
|---|---|---|---|
| Northeast Valley Health Corporation |
Federally qualified health center | Corporate Officer | Jul 27, 2003 |
| Pacoima Health Center |
Federally qualified health center | Corporate Officer | Jul 17, 2003 |
| San Fernando Health Center |
Federally qualified health center | Corporate Officer | Jul 17, 2003 |
| Canoga Park Health Center |
Federally qualified health center | Corporate Officer | Jul 17, 2003 |
| Sun Valley Health Center |
Federally qualified health center | Corporate Officer | Jul 17, 2003 |
| Mobile Health Center |
Federally qualified health center | Corporate Officer | Jul 17, 2003 |
| Santa Clarita Health Center |
Federally qualified health center | Corporate Officer | Jul 13, 2003 |
| Pacoima Women'S Health Center |
Federally qualified health center | Corporate Officer | Jul 17, 2003 |
| Transitions to Wellness North Hollywood Health Center |
Federally qualified health center | Corporate Officer | Jul 17, 2003 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041215000587 | CA | Practitioner - Pediatric Medicine | 7315904919 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A74636 | CA | MD | Pediatrics Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Valley Health Corporation | Current |
Accepting new patients | |
| Northeast Valley Health Corporation | Current |
Accepting new patients | |
| Northeast Valley Health Corporation | Current | Accepting new patients |
Locations
7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656
12756 Van Nuys Blvd
Pacoima, CA 91331
Phone (818) 896-0531
1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388
1600 San Fernando Rd
San Fernando, CA 91340
Phone (818) 365-8086
7223 Fair Ave
Sun Valley, CA 91352
Phone (818) 432-4400
23763 Valencia Blvd
Valencia, CA 91355
Phone (661) 287-1551
6551 Van Nuys Blvd
Ste 201
Van Nuys, CA 91401
Phone (818) 765-8656
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- christine.park.p1@direct.nevhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A74636 | CA | Yes |
Addresses
Primary practice location
1600 San Fernando Rd
San Fernando, CA 91340-3115
Mailing address
1172 N Maclay Ave
San Fernando, CA 91340-1328
Phone (818) 898-1388
Other names
- Christine Lim-Fun Chan
Other providers in San Fernando, CA
- Yvette Marie Padilla I
- Gokuldas M Pai
- Spencer Palache
- Dave Palafox-Velarde
- Christine Palencia
- Rosio Parra
- Hafiz Ulrehman Parray
- Partners in Care Foundation
- Partners in Care Foundation
- Partners in Care Foundation
All providers in San Fernando, CA · Pediatrics Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.