Mina Park, AGNP-C
NPI 1417312406 · Nurse Practitioner · Los Angeles, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mina Park, AGNP-C is a Nurse Practitioner provider in Los Angeles, CA (NPI 1417312406).
Provider details
- NPI number
- 1417312406
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 95002208 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 77 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 231 | 30 |
| Losartan Potassium | 153 | 22 |
| Sertraline Hcl | 128 | 23 |
| Furosemide | 127 | 21 |
| Amlodipine Besylate | 125 | 19 |
| Mirtazapine | 124 | 16 |
| Lisinopril | 122 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-12-18
- Last updated
- 2015-12-18
Frequently asked questions
- What is Mina Park's NPI number?
- Mina Park's National Provider Identifier (NPI) is 1417312406, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mina Park's specialty?
- Mina Park is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mina Park located?
- Mina Park's practice location on file with NPPES is 8650 Belford Ave Apt 225, Los Angeles, CA 90045-4553.
- What is Mina Park's phone number?
- The practice phone number listed in the NPPES registry for Mina Park is (818) 987-5088.
- Does Mina Park accept Medicare?
- Mina Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mina Park's NPI active?
- Yes — Mina Park's NPI (1417312406) is active in the NPPES registry as of the last update on 2015-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.