Individual provider Active NPI

Nanah Suk Park, MD

  • Pediatrics Physician
  • San Francisco, CA
National Provider Identifier
1942350988
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C136651 Issued in CA
Practice address
2330 Post St Ste 320
San Francisco, CA 94115-3466
Phone
(415) 885-7478
Fax
(415) 885-3790
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C136651 CA Primary

Addresses

Primary practice location

2330 Post St Ste 320
San Francisco, CA 94115-3466

Mailing address

2330 Post St Ste 320
San Francisco, CA 94115-3466
Phone (415) 885-7478

Other identifiers 1

IdentifierTypeStateIssuer
036108899MedicaidIL

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
I20150828001847 CA Practitioner - Pediatric Medicine 6608841614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C136651CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Pediatrics Current Accepting new patients
University of California San Francisco Pediatrics CurrentSince Aug 1, 2015 Accepting new patients
University of California San Francisco CurrentSince Aug 1, 2015 Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Aug 1, 2015 Accepting new patients
University of California San Francisco Past Accepting new patients
The University of Chicago Medical Centers Past Accepting new patients

Locations

225 California Dr
Burlingame, CA 94010
Phone (415) 353-2002

2330 Post St
Ste 320
San Francisco, CA 94115
Phone (415) 353-2364

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

Organizations & group practices 6

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1942350988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 POST ST STE 320",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153466",
            "telephone_number": "415-885-7478",
            "fax_number": "415-885-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 POST ST STE 320",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153466",
            "telephone_number": "415-885-7478",
            "fax_number": "415-885-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "NANAH",
        "middle_name": "SUK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C136651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036108899",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.