NPIMap

Individual provider Active NPI

Mi Ran Park, M.D.

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1992929616
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A103558 Issued in CA
Practice address
2066 Clarmar Way Ste B
San Jose, CA 95128-1715
Phone
(408) 293-0800
Fax
(408) 293-0801
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A103558 CA Primary
Primary Care Clinic/Center 261QP2300X A103558 CA

Addresses

Primary practice location

2066 Clarmar Way Ste B
San Jose, CA 95128-1715

Mailing address

2066 Clarmar Way Ste B
San Jose, CA 95128-1715
Phone (408) 293-0800

Other names 1

  • Dr. Mi Ran Chun Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090807000365 CA Practitioner - Family Practice 0547313546 Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2066 Clarmar Way
Suite B
San Jose, CA 95128-1715
Phone (408) 293-0800

Hospital & facility affiliations

  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A103558CAMDPrimary Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Hanford Community Hospital Past Accepting new patients
Central Valley General Hospital Past Accepting new patients
O'Connor Hospital Past Accepting new patients
County of Santa Clara Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mi.ran.park@66389853863940.direct.elationemr.com

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1992929616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2066 CLARMAR WAY STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281715",
            "telephone_number": "408-293-0800",
            "fax_number": "408-293-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2066 CLARMAR WAY STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281715",
            "telephone_number": "408-293-0800",
            "fax_number": "408-293-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "MI RAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A103558",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A103558",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MI RAN",
            "last_name": "CHUN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.