OrganizationActive
Jc Park DDS Inc
NPI 1609636810 · Dental Clinic/Center · Rialto, CA
Jc Park DDS Inc is a Dental Clinic/Center organization in Rialto, CA (NPI 1609636810).
Provider details
- NPI number
- 1609636810
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jaechan Park, Ceo(626) 454-0159
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
1505 S Riverside Ave Unit B
Rialto, CA 92376-7725
Phone: (909) 440-5345
Street-level locationGet directions
Mailing address
15201 S Western Ave
Gardena, CA 90249-4314
Registry dates
- Enumerated
- 2024-03-22
- Last updated
- 2024-03-22
- Certified
- 2024-03-20
Frequently asked questions
- What is Jc Park DDS Inc's NPI number?
- Jc Park DDS Inc's National Provider Identifier (NPI) is 1609636810, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jc Park DDS Inc?
- Jc Park DDS Inc is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jc Park DDS Inc located?
- Jc Park DDS Inc's practice location on file with NPPES is 1505 S Riverside Ave Unit B, Rialto, CA 92376-7725.
- What is Jc Park DDS Inc's phone number?
- The practice phone number listed in the NPPES registry for Jc Park DDS Inc is (909) 440-5345.
- Who is the authorized official for Jc Park DDS Inc?
- The authorized official listed on Jc Park DDS Inc's NPPES record is Jaechan Park, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jc Park DDS Inc's NPI active?
- Yes — Jc Park DDS Inc's NPI (1609636810) is active in the NPPES registry as of the last update on 2024-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.