What is Kiwon Park's NPI number?

Kiwon Park's National Provider Identifier (NPI) is 1346124864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kiwon Park's specialty?

Kiwon Park is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).

Where is Kiwon Park located?

Kiwon Park's practice location on file with NPPES is 111 W Valencia Dr, Fullerton, CA 92832-2317.

What is Kiwon Park's phone number?

The practice phone number listed in the NPPES registry for Kiwon Park is (858) 717-2545.

Is Kiwon Park's NPI active?

Yes — Kiwon Park's NPI (1346124864) is active in the NPPES registry as of the last update on 2025-08-07.

IndividualActive

Kiwon Park, FNP-C

NPI 1346124864 · Nurse Practitioner · Fullerton, CA

Kiwon Park, FNP-C is a Nurse Practitioner provider in Fullerton, CA (NPI 1346124864).

Provider details

NPI number: 1346124864
Entity type: Individual
Primary specialty: Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: FNP-C
Sex: Female
Sole proprietor: No
License: 95036452 (CA)

Specialties & taxonomies

Nurse PractitionerPrimary363L00000XLicense 95036452 (CA)
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in 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

111 W Valencia Dr

Fullerton, CA 92832-2317

Phone: (858) 717-2545

Street-level locationGet directions

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Mailing address