Yeji Esther Park

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95004868 Issued in CA

Practice address

16745 W Bernardo Dr Ste 240
San Diego, CA 92127-1908

Phone

(858) 592-2000

NPI assigned

Sep 26, 2016

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Seasons Medical Group of California Incorporated

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • San Diego, CA
  • NPI 1790239473
  Medicare reassignment NPD
• Seasons Hospice & Palliative Care of California- San Diego, LLC

  • Community Based Hospice Care Agency
  • San Diego, CA
  • NPI 1457688954
  NPD (past)

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1851840342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 WILSHIRE BLVD APT 545",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364896",
            "telephone_number": "410-948-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16745 W BERNARDO DR STE 240",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271908",
            "telephone_number": "858-592-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12900 Park Plaza Dr",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907039329",
            "country_code": "US",
            "telephone_number": "410-948-4679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "YEJI",
        "middle_name": "ESTHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95004868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Heera Park
• So Young Park, CF-SLP
• Sun Min Park, N.P.
• Sun-Yong Park
• Susanna Jung-a Park, MD
• Yu Jin Park, RBT
• Parker Wellness Collective, Inc.
• Andrea Lynne Parker, MSN, RN, CPNP-AC
• Bailey Parker
• Brenna Parker

• Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.