Joanne Park
NPI 1912684440 · Physician Assistant · Fullerton, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Joanne Park is a Physician Assistant provider in Fullerton, CA (NPI 1912684440).
Provider details
- NPI number
- 1912684440
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
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
83% 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
- 2023-06-27
- Last updated
- 2024-12-18
- Certified
- 2024-12-18
Frequently asked questions
- What is Joanne Park's NPI number?
- Joanne Park's National Provider Identifier (NPI) is 1912684440, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Joanne Park's specialty?
- Joanne Park is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Joanne Park located?
- Joanne Park's practice location on file with NPPES is 2575 Yorba Linda Blvd, Fullerton, CA 92831-1615.
- What is Joanne Park's phone number?
- The practice phone number listed in the NPPES registry for Joanne Park is (714) 992-7808.
- Does Joanne Park accept Medicare?
- Joanne Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Joanne Park's NPI active?
- Yes — Joanne Park's NPI (1912684440) is active in the NPPES registry as of the last update on 2024-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.