Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Billie K Park, DO

Individual provider Family Medicine Physician · NPI 1750574083

Billie K Park, DO is a Family Practice in Yorba Linda, California. Qualified in 2007, 19 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4300 Rose Dr
Yorba Linda, CA 92886-2026
Phone: (714) 577-6680
Fax: (714) 579-6864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8078 E Santa Ana Canyon Rd, Anaheim, CA 92808-1108 — (714) 974-2900

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A 10656 (CA)

Record details

NPI number1750574083
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 21, 2007
Last updated in NPPESNovember 9, 2021
Certification dateNovember 9, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Yorba Linda