Edward Park, DO in San Diego, CA - Medicare Internal Medicine

Edward Park, DO is a medicare enrolled "Internal Medicine" physician in San Diego, California. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice County Of Santa Clara and his current practice location is 34800 Bob Wilson Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 532-6400.

Edward Park is licensed to practice in California (license number 20A21915) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285255570.

Contact Information

	Edward Park, DO
	34800 Bob Wilson Dr, San Diego, CA 92134-1098
	(619) 532-6400
	Not Available

Map and Direction

Physician's Profile

Full Name	Edward Park
Gender	Male
Speciality	Internal Medicine
Experience	6 Years
Location	34800 Bob Wilson Dr, San Diego, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Edward Park graduated from medical school in 2020

NPI Data:

NPI Number: 1285255570
Provider Enumeration Date: 04/28/2020
Last Update Date: 01/28/2026

Medicare PECOS Information:

PECOS PAC ID: 7012338551
Enrollment ID: I20240111004411

Medical Identifiers

Medical identifiers for Edward Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285255570	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	20A21915 (California)	Primary
208M00000X	Hospitalist	20A21915 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Santa Clara Valley Medical Center	San jose, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
County Of Santa Clara	1254244973	824

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Edward Park allows following entities to bill medicare on his behalf.

Entity Name	County Of Santa Clara
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588721500 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757

Entity Name	County Of Santa Clara
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784

Entity Name	County Of Santa Clara
Entity Type	Part B Supplier - Other Medical Care Group
Entity Identifiers	NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edward Park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Edward Park, DO 1907 Columbia St Apt 403, San Diego, CA 92101-2221 Ph: (408) 373-3139	Edward Park, DO 34800 Bob Wilson Dr, San Diego, CA 92134-1098 Ph: (619) 532-6400

Reviews and Comments

Internal Medicine Doctors in San Diego, CA

Dr. Ramin Motarjemi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 858-249-2500 Fax: 858-657-8069
Dr. Shweta Warner, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-221-6258 Fax: 619-221-6012
Dr. Matthew James Roosevelt, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, Department Of Hospital Medicine, San Diego, CA 92120 Phone: 619-952-5091
Marin Nishimura-kaminski, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781
Belicia Kuang-chieh Ding, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781
Jedidiah Daniel Bell, Internal Medicine Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 619-471-0434
Dr. Umber Dube, MD PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781

Edward Park, DO - Medicare Internal Medicine in San Diego, CA