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

Dr. Joe W Park, DC, CCSP

Individual provider Chiropractor · NPI 1790734572

Dr. Joe W Park, DC, CCSP is a Chiropractic in Tustin, California. Graduated from Los Angeles College of Chiropractic in 2004, 22 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Trained at
Los Angeles College of Chiropractic
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

15991 Red Hill Ave Ste 100
Tustin, CA 92780-7320
Phone: (949) 701-8250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC29675 (CA)
Chiropractor Taxonomy 111N00000X · Licence 29675 (CA)

Record details

NPI number1790734572
Entity typeIndividual (Type 1)
GenderMale
Credentials DC , CCSP
Sole proprietorNo
NPI enumeratedMay 9, 2006
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolLOS ANGELES COLLEGE OF CHIROPRACTIC
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tustin