Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Da Yon Park, PA-C

Individual provider Physician Assistant · NPI 1053883579

Da Yon Park, PA-C is a Physician Assistant in Fairfax, Virginia. Qualified in 2018, 8 years ago. Practices with Fair Oaks Ortho, PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
8
Licensed in
VA
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3620 Joseph Siewick Dr Ste 201
Fairfax, VA 22033-1758
Phone: (703) 391-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110006433 (VA)

Record details

NPI number1053883579
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 21, 2018
Last updated in NPPESDecember 21, 2018
Mailing address3620 Joseph Siewick Dr Ste 201, Fairfax, VA 22033-1758

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Fair Oaks Ortho, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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