Individual provider Active NPI

Sunmin Park, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1871520601
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G074656 Issued in CA
Practice address
2727 W Olympic Blvd
Suite 313
Los Angeles, CA 90006-2637
Phone
(213) 736-0010
Fax
(213) 736-0020
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G074656 CA Primary

Addresses

Primary practice location

2727 W Olympic Blvd
Suite 313
Los Angeles, CA 90006-2637

Mailing address

2727 W Olympic Blvd
Suite 313
Los Angeles, CA 90006-2637
Phone (213) 736-0010

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120529000170 CA Practitioner - Ophthalmology 1658534862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1875 W Redondo Beach Blvd
Suite 101
Gardena, CA 90247-3627
Phone (213) 736-0010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G074656CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunmin Park MD a California Medical Corporation CurrentSince Jul 8, 1997 Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

1875 W Redondo Beach Blvd
Ste 101
Gardena, CA 90247
Phone (213) 736-0010

2727 W Olympic Blvd
Ste 313
Los Angeles, CA 90006
Phone (213) 322-2057

3440 Lomita Blvd
Ste 242
Torrance, CA 90505
Phone (310) 517-8690

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBFFBA/Endpoint/IBFFBA
  • Direct secure messaging: spark824878@direct.ochin.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBFFBA
  • Direct secure messaging: spark103456@direct.cshs.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1871520601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD",
            "address_2": "SUITE 313",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062637",
            "telephone_number": "213-736-0010",
            "fax_number": "213-736-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD",
            "address_2": "SUITE 313",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062637",
            "telephone_number": "213-736-0010",
            "fax_number": "213-736-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SUNMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G074656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.