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

Dr. Peter Joonsun Park, MD

Individual provider Emergency Medicine Physician · NPI 1831296185

Dr. Peter Joonsun Park, MD is an Emergency Medicine in San Diego, California. Graduated from University of Minnesota Medical School in 1994, 32 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
32
Trained at
University of Minnesota Medical School
Licensed in
WI
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

34800 Bob Wilson Dr Naval Medical Ctr Dept OF Emergency Medicine
San Diego, CA 92134-1110
Phone: (619) 532-8274
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2661 County Highway I, Chippewa Falls, WI 54729-5407 — (715) 712-1811
  • 900 W Clairemont Ave, Eau Claire, WI 54701-6122 — (715) 717-4121

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 37489-020 (WI)

Record details

NPI number1831296185
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 20, 2006
Last updated in NPPESNovember 9, 2021
Certification dateNovember 9, 2021

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1994 (32 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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