Sunyoung Park, LAC.
NPI 1114080801 · Physician Assistant · Rancho Cucamonga, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sunyoung Park, LAC. is a Physician Assistant provider in Rancho Cucamonga, CA (NPI 1114080801).
Provider details
- NPI number
- 1114080801
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- LAC.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11452 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
- 2006-12-18
- Last updated
- 2021-01-11
- Certified
- 2021-01-11
Frequently asked questions
- What is Sunyoung Park's NPI number?
- Sunyoung Park's National Provider Identifier (NPI) is 1114080801, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sunyoung Park's specialty?
- Sunyoung Park is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Sunyoung Park located?
- Sunyoung Park's practice location on file with NPPES is 10801 Foothill Blvd. # 104, Rancho Cucamonga, CA 91730.
- What is Sunyoung Park's phone number?
- The practice phone number listed in the NPPES registry for Sunyoung Park is (909) 989-4435.
- Does Sunyoung Park accept Medicare?
- Sunyoung Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sunyoung Park's NPI active?
- Yes — Sunyoung Park's NPI (1114080801) is active in the NPPES registry as of the last update on 2021-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.