Dr. Daniel Park
Dr. Daniel Park is registered under 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
Practice location Address checks out
13193 Central AveChino, CA 91710-4179
Phone: (909) 464-9675
Show map & directions
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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 number | 1609296433 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 20, 2014 |
| Last updated in NPPES | December 3, 2021 |
| Certification date | December 3, 2021 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Providence Medical Foundation — 1465 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 324 |
|---|---|
| Services billed | 1,327 |
| Average patient age | 81 |
Payments from drug and device companies, 2025
| Food and Beverage | $79 |
|---|
Practises at
- Vast Home Health, Inc Home health agency · Burbank, CA · listed as Immense Home Health Inc
- Greenfield Care Center Of Fullerton, Llc Nursing home · Fullerton, CA
- Park Regency Care Center Nursing home · La Habra, CA · listed as Park Regency Care LLC
- St. Catherine Healthcare Nursing home · Fullerton, CA · listed as Santa Catalina Healthcare, Inc
- The Pavilion At Sunny Hills Nursing home · Fullerton, CA · listed as Fullerton Healthcare & Wellness Centre, LP
- Providence St. Jude Medical Center Hospital · Fullerton, CA
- Providence At Home With Compassus Hospice Care Orange County Hospice · Anaheim, CA
- Providence At Home With Compassus Hospice Care Orange County South Hospice · Mission Viejo, CA
Colleagues at Providence Medical Foundation
- Mrs. Jennifer Cruz Alicbusan, FNP Nurse Practitioner · Napa, CA
- Masis Babajanian, MD Cardiovascular Disease Physician · Santa Rosa, CA
- Herbert Charles Bazron Jr., MD Internal Medicine Physician · Napa, CA
- Dr. Aseem D Desai, MD Clinical Cardiac Electrophysiology Physician · Mission Viejo, CA
- Vanessa Franco, PA-C Physician Assistant · Fullerton, CA
- Patricia Tu Gandasetiawan, PA-C Physician Assistant · Brea, CA
- Robert Y. Goldberg, MD Internal Medicine Physician · Mission Viejo, CA
- Dr. Victoria Leigh, DO Internal Medicine Physician · Long Beach, CA
- Dr. Jessica Magallanes-Evans, PSYD Clinical Psychologist · Santa Cruz, CA
- Victor Nekrasov, MD Pediatrics Physician · Fullerton, CA
- Ivan Nichols, MD Family Medicine Physician · Orange, CA
- Sean Edward Purtell, MD Family Medicine Physician · Eureka, CA
Other providers in Chino
-
Moreno Family Medical and Associates Inc
15361 Central Ave, Chino, CA 91710-7608 · (909) 393-7171
-
Hemalatha Murugan
12611 9th St Ste A, Chino, CA 91710-3528 · (909) 331-4473
-
Dr. Kim Ngoc Nguyen, MD
5451 Walnut Ave, Chino, CA 91710-2609 · (094) 648-6009
-
Pamela J Harford, DO, a Medical Corporation
5253 Riverside Dr, Chino, CA 91710-4151 · (909) 464-2845
-
Dr. Jose M Pavia, MD
13768 Roswell Ave Ste 101, Chino, CA 91710-1401 · (909) 517-2188
-
Anthony Maurice Pinner, PA-C
12488 Central Ave Ste B, Chino, CA 91710-2625 · (909) 613-0100
-
Sotara Manalo Rico, DO
5253 Riverside Dr, Chino, CA 91710-4151 · (909) 464-2845
-
Dr. Nayan R. Shah, MD
5475 Walnut Ave, Chino, CA 91710-2609 · (909) 591-6446