Jino Park DDS Dental Corporation
NPI 1164110151 · Dental Clinic/Center · Loma Linda, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jino Park DDS Dental Corporation is a Dental Clinic/Center organization in Loma Linda, CA (NPI 1164110151).
Provider details
- NPI number
- 1164110151
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jino Park, Owner(909) 969-3503
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2023-04-27
- Last updated
- 2025-05-21
- Certified
- 2025-05-21
Frequently asked questions
- What is Jino Park DDS Dental Corporation's NPI number?
- Jino Park DDS Dental Corporation's National Provider Identifier (NPI) is 1164110151, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jino Park DDS Dental Corporation?
- Jino Park DDS Dental Corporation is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jino Park DDS Dental Corporation located?
- Jino Park DDS Dental Corporation's practice location on file with NPPES is 24950 Redlands Blvd Ste B, Loma Linda, CA 92354-4028.
- What is Jino Park DDS Dental Corporation's phone number?
- The practice phone number listed in the NPPES registry for Jino Park DDS Dental Corporation is (909) 478-9777.
- Does Jino Park DDS Dental Corporation accept Medicare?
- Jino Park DDS Dental Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jino Park DDS Dental Corporation?
- The authorized official listed on Jino Park DDS Dental Corporation's NPPES record is Jino Park, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jino Park DDS Dental Corporation's NPI active?
- Yes — Jino Park DDS Dental Corporation's NPI (1164110151) is active in the NPPES registry as of the last update on 2025-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.