Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ji-Kwan Park, MD, MPH

Individual provider Ophthalmology Physician · NPI 1619322898

Dr. Ji-Kwan Park, MD, MPH is an Ophthalmology in San Jose, California. Graduated from Loma Linda University School of Medicine in 2020, 6 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Indiana.

Years since qualifying
6
Trained at
Loma Linda University School of Medicine
Licensed in
CA, IN
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

1721 Technology Dr Dept 110
San Jose, CA 95110-1305
Phone: (408) 436-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 333 City Blvd W, Orange, CA 92868-2903 — (714) 456-6693
  • 555 N 13th Ave, Upland, CA 91786-4904 — (909) 277-2420

Specialties & licences

Ophthalmic Plastic and Reconstructive Surgery Physician (primary) Taxonomy 207WX0200X · Licence A155176 (CA)
Ophthalmology Physician Taxonomy 207W00000X · Licence A155176 (CA)
Ophthalmic Plastic and Reconstructive Surgery Physician Taxonomy 207WX0200X · Licence 01084888A (IN)

Record details

NPI number1619322898
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MPH
Sole proprietorYes
NPI enumeratedApril 26, 2016
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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