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

Jennifer Park, MD

Individual provider Family Medicine Physician · NPI 1245679182

Jennifer Park, MD is a Family Practice in Phoenix, Arizona. Qualified in 2013, 13 years ago. Practices with Torrance Health Association Inc, a 297-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
13
Licensed in
AZ
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4545 E Chandler Blvd Ste 104
Phoenix, AZ 85048
Phone: (480) 728-4400
Fax: (480) 222-3422
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 2927 N 7th Ave, Phoenix, AZ 85013-4102 — (602) 406-3153
  • 2927 N 7th Ave, Phoenix, AZ 85013-4102 — (602) 406-3153

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 52982 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence R74065 (AZ)

Record details

NPI number1245679182
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 24, 2013
Last updated in NPPESJuly 16, 2019

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Torrance Health Association Inc — 297 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Phoenix