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

Dr. Moses I Park, MD

Individual provider Internal Medicine Physician · NPI 1528079639

Dr. Moses I Park, MD is an Internal Medicine in Redlands, California. Qualified in 2003, 23 years ago. Practices with Beaver Medical Group P C, a 255-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
23
Licensed in
CA
In the registry since
2006
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

2 W Fern Ave
Redlands, CA 92373-5916
Phone: (909) 793-3311
Fax: (909) 335-1936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A96734 (CA)

Record details

NPI number1528079639
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 11, 2006
Last updated in NPPESJanuary 4, 2026
Certification dateJanuary 4, 2026
Mailing addressPo Box 35380, Las Vegas, NV 89133-5380

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Beaver Medical Group P C — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Redlands