Michele Park
NPI 1063215127 · Medical Physician Assistant · Corona, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michele Park is a Medical Physician Assistant provider in Corona, CA (NPI 1063215127).
Provider details
- NPI number
- 1063215127
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-31
- Last updated
- 2025-09-08
- Certified
- 2025-09-08
Frequently asked questions
- What is Michele Park's NPI number?
- Michele Park's National Provider Identifier (NPI) is 1063215127, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michele Park's specialty?
- Michele Park is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Michele Park located?
- Michele Park's practice location on file with NPPES is 802 Magnolia Ave Ste 205, Corona, CA 92879-3144.
- What is Michele Park's phone number?
- The practice phone number listed in the NPPES registry for Michele Park is (951) 281-2730.
- Does Michele Park accept Medicare?
- Michele Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michele Park's NPI active?
- Yes — Michele Park's NPI (1063215127) is active in the NPPES registry as of the last update on 2025-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.