Renee Park, M.D., M.P.H.
NPI 1205079910 · Pediatric Otolaryngology Physician · Fontana, CA
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renee Park, M.D., M.P.H. is a Pediatric Otolaryngology Physician provider in Fontana, CA (NPI 1205079910).
Provider details
- NPI number
- 1205079910
- Entity type
- Individual
- Primary specialty
- Pediatric Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., M.P.H.
- Sex
- Female
- Sole proprietor
- No
- License
- MD454696 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
17 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$32 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-04-10
- Last updated
- 2021-11-29
Frequently asked questions
- What is Renee Park's NPI number?
- Renee Park's National Provider Identifier (NPI) is 1205079910, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Renee Park's specialty?
- Renee Park is listed in the NPPES registry with a primary specialty of Pediatric Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Renee Park located?
- Renee Park's practice location on file with NPPES is 9961 Sierra Ave, Fontana, CA 92335-6720.
- What is Renee Park's phone number?
- The practice phone number listed in the NPPES registry for Renee Park is (909) 427-5000.
- Does Renee Park accept Medicare?
- Renee Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Renee Park's NPI active?
- Yes — Renee Park's NPI (1205079910) is active in the NPPES registry as of the last update on 2021-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.