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

Dr. Joseph Park, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1306231600

Dr. Joseph Park, DPM is a Podiatry in Pomona, California. Graduated from New York College of Podiatric Medicine in 2015, 11 years ago. Practices with De Anza Orthopedic Medical Group Inc, an 18-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Trained at
New York College of Podiatric Medicine
Licensed in
CA
In the registry since
2015
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

309 E 2nd St
Pomona, CA 91766-1854
Phone: (909) 623-6116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E5726 (CA)

Record details

NPI number1306231600
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 2, 2015
Last updated in NPPESNovember 5, 2021
Certification dateNovember 5, 2021
Mailing address309 E 2nd St, Pomona, CA 91766-1854

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2015 (11 years in practice)
Group practice De Anza Orthopedic Medical Group Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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