Jong Park
NPI 1508493008 · Pediatrics Physician · Los Angeles, CA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jong Park is a Pediatrics Physician provider in Los Angeles, CA (NPI 1508493008).
Provider details
- NPI number
- 1508493008
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- A186433 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
- 2020-03-25
- Last updated
- 2024-02-27
- Certified
- 2024-02-27
Frequently asked questions
- What is Jong Park's NPI number?
- Jong Park's National Provider Identifier (NPI) is 1508493008, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jong Park's specialty?
- Jong Park is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jong Park located?
- Jong Park's practice location on file with NPPES is 1200 N State St, Los Angeles, CA 90089-1001.
- What is Jong Park's phone number?
- The practice phone number listed in the NPPES registry for Jong Park is (323) 409-1000.
- Does Jong Park accept Medicare?
- Jong Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jong Park's NPI active?
- Yes — Jong Park's NPI (1508493008) is active in the NPPES registry as of the last update on 2024-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.