Jun Kyu Park, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A98074 Issued in CA

Practice address

7300 Medical Center Dr
West Hills, CA 91307-1902

Phone

(818) 984-1942

Fax

(818) 786-5417

NPI assigned

Feb 16, 2009

Last updated

Jan 20, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

University of California, San Diego School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medbridge Anesthesia Services IncGroup PAC ID 6507251360, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medbridge Anesthesia Services, Inc.

  • Anesthesiology Physician
  • Santa Barbara, CA
  • NPI 1801558648
  Medicare reassignment Care Compare group NPD
• Jun Kyu Park, M.D., Inc.

  • Anesthesiology Physician
  • Thousand Oaks, CA
  • NPI 1407294556
  Medicare reassignment Authorized official
• Apa Medical Group, Inc.

  • Anesthesiology Physician
  • Camarillo, CA
  • NPI 1700596111
  Medicare reassignment NPD
• Bayside Anesthesia Medical Group

  • Pain Medicine (Anesthesiology) Physician
  • Santa Monica, CA
  • NPI 1184668469
  Medicare reassignment NPD
• Equity Anesthesia

  • Anesthesiology Physician
  • Tarzana, CA
  • NPI 1134746456
  Medicare reassignment NPD
• West Hills Anesthesia and Perioperative Physicians

  • Anesthesiology Physician
  • West Hills, CA
  • NPI 1881061802
  Medicare reassignment NPD
• Jun Kyu Park, M.D. Inc.

  • Anesthesiology Physician
  • West Hills, CA
  • NPI 1881030666
  Authorized official Same address or phone
• Apmc Medical Group Inc

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1184592982
  NPD (past)
• National Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Los Gatos, CA
  • NPI 1649500950
  NPD (past)

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1952540908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7001",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913577001",
            "telephone_number": "818-888-7815",
            "fax_number": "818-715-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 MEDICAL CENTER DR",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071902",
            "telephone_number": "818-984-1942",
            "fax_number": "818-786-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JUN",
        "middle_name": "KYU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-16",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A98074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in West Hills, CA
• Providers in West Hills, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.
• 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.