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

Jea Young Park

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1831752864

Jea Young Park is an Endocrinology in Derby, Connecticut. Graduated from Yale University School of Medicine in 2019, 7 years ago. Practices with University of California San Francisco, a 1,793-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Trained at
Yale University School of Medicine
Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

130 Division St
Derby, CT 06418-1326
Phone: (203) 732-7327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence A186360 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1831752864
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 16, 2019
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025
Mailing address130 Division St, Derby, CT 06418-1326

Medicare enrollment

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

Medicare specialtyENDOCRINOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice University Of California San Francisco — 1793 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Derby