JENNIFER PARK M.D. – NPI #1245679182
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

JENNIFER PARK is a physician located in PHOENIX, AZ. NPPES has assigned the NPI number 1245679182 to JENNIFER PARK on June 24, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 7 years ago on Jul 16, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JENNIFER PARK below.

NPI Profile for
JENNIFER PARK

NPI Number
1245679182
Enumeration Date

(about 13 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JENNIFER PARK
Credentials
M.D.
Primary location
4545 E CHANDLER BLVD STE 104
PHOENIX, AZ 85048
Phone: (480) 728-4400 Fax: (480) 222-3422
1 Other location(s):
2927 N 7th Ave
Peppertree Building
Phoenix, AZ 85013-4102
Phone: (602) 406-3153
Fax: (602) 406-7176
Mailing address
3030 N CENTRAL AVE STE 1001
PHOENIX, AZ 85012-2716
Phone: (602) 406-4786 Fax: (916) 636-4358
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for JENNIFER PARK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERTRAINING PERMITAZR74065
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 AZ R74065

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JENNIFER PARK is affiliated with the following medical group(s):
  • HOSPITAL
    • TORRANCE MEMORIAL MEDICAL CENTER
      3330 LOMITA BLVD
      TORRANCE, CA 90509

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.