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

Dr. Daniel Park

Individual provider Family Medicine Physician · NPI 1609296433

Dr. Daniel Park is a Family Practice in Chino, California. Qualified in 2012, 14 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2014
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

13193 Central Ave
Chino, CA 91710-4179
Phone: (909) 464-9675
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A13220 (CA)

Record details

NPI number1609296433
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 20, 2014
Last updated in NPPESDecember 3, 2021
Certification dateDecember 3, 2021
Mailing address13193 Central Ave, Chino, CA 91710-4179

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Chino