Sooh Park
NPI 1477956175 · General Practice Dentistry · Yucaipa, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sooh Park is a General Practice Dentistry provider in Yucaipa, CA (NPI 1477956175).
Provider details
- NPI number
- 1477956175
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 63849 (CA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
- 2014-10-08
- Last updated
- 2022-01-06
- Certified
- 2022-01-06
Frequently asked questions
- What is Sooh Park's NPI number?
- Sooh Park's National Provider Identifier (NPI) is 1477956175, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sooh Park's specialty?
- Sooh Park is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Sooh Park located?
- Sooh Park's practice location on file with NPPES is 34880 Yucaipa Blvd, Yucaipa, CA 92399-4235.
- What is Sooh Park's phone number?
- The practice phone number listed in the NPPES registry for Sooh Park is (909) 797-1136.
- Does Sooh Park accept Medicare?
- Sooh Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sooh Park's NPI active?
- Yes — Sooh Park's NPI (1477956175) is active in the NPPES registry as of the last update on 2022-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.