Kenneth Park, DO
NPI 1457643215 · Obstetrics & Gynecology Physician · Redlands, CA
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Park, DO is a Obstetrics & Gynecology Physician provider in Redlands, CA (NPI 1457643215).
Provider details
- NPI number
- 1457643215
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 14077 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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 · 2 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Estradiol | 21 |
| Clobetasol Propionate | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-05-11
- Last updated
- 2026-01-04
- Certified
- 2026-01-04
Frequently asked questions
- What is Kenneth Park's NPI number?
- Kenneth Park's National Provider Identifier (NPI) is 1457643215, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Park's specialty?
- Kenneth Park is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Park located?
- Kenneth Park's practice location on file with NPPES is 2 W Fern Ave, Redlands, CA 92373.
- What is Kenneth Park's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Park is (909) 793-3311.
- Does Kenneth Park accept Medicare?
- Kenneth Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Park's NPI active?
- Yes — Kenneth Park's NPI (1457643215) is active in the NPPES registry as of the last update on 2026-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.