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

David Kyung-Il Park, MD

Individual provider Emergency Medicine Physician · NPI 1578763413

David Kyung-Il Park, MD is an Emergency Medicine in San Leandro, California. Graduated from Columbia University College of Physicians and Surgeons in 2003, 23 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
23
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 Merced Sreet
San Leandro, CA 94577-4201
Phone: (510) 454-1000
Fax: (720) 293-3055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A100165 (CA)

Record details

NPI number1578763413
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 19, 2007
Last updated in NPPESFebruary 11, 2022
Mailing address2500 Merced Street, San Leandro, CA 94577-4201

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2003 (23 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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