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

Dr. Chan H. Park, MD

Individual provider Family Medicine Physician · NPI 1255336665

Dr. Chan H. Park, MD is a Family Practice in Shafter, California. Graduated from Loma Linda University School of Medicine in 1996, 30 years ago. Practices with Shafter Urgent Care, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
30
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2005
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

565 Kern St
Shafter, CA 93263-2133
Phone: (661) 746-4937
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A068509 (CA)

Record details

NPI number1255336665
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2005
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Shafter Urgent Care — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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