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

Dr. Jonathan Park, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205324969

Dr. Jonathan Park, MD is a Family Practice in Jurupa Valley, California. Graduated from Oakland Univ, William Beaumont School of Medicine in 2018, 8 years ago. Practices with County of Riverside, a 187-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Trained at
Oakland Univ, William Beaumont School of Medicine
Licensed in
CA
In the registry since
2018
Specialties on file
2
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

8876 Mission Blvd
Jurupa Valley, CA 92509-2811
Phone: (951) 360-8795
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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 A165509 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205324969
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 28, 2018
Last updated in NPPESJuly 8, 2021
Certification dateJuly 8, 2021
Mailing address8876 Mission Blvd, Jurupa Valley, CA 92509-2811

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice County Of Riverside — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jurupa Valley