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Susan Park
NPI 1114253515 · Family Medicine Physician · Fountain Valley, CA
Susan Park is a Family Medicine Physician provider in Fountain Valley, CA (NPI 1114253515).
Provider details
- NPI number
- 1114253515
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- 77563 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
11420 Warner Ave
Fountain Valley, CA 92708-2529
Phone: (714) 549-1300
Street-level locationGet directions
Mailing address
2742 Dow Ave
Tustin, CA 92780-7242
Registry dates
- Enumerated
- 2009-10-20
- Last updated
- 2010-05-19
Frequently asked questions
- What is Susan Park's NPI number?
- Susan Park's National Provider Identifier (NPI) is 1114253515, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Park's specialty?
- Susan Park is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Susan Park located?
- Susan Park's practice location on file with NPPES is 11420 Warner Ave, Fountain Valley, CA 92708-2529.
- What is Susan Park's phone number?
- The practice phone number listed in the NPPES registry for Susan Park is (714) 549-1300.
- Is Susan Park's NPI active?
- Yes — Susan Park's NPI (1114253515) is active in the NPPES registry as of the last update on 2010-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.