Ji Yeon Park, DO
Ji Yeon Park, DO practises Internal Medicine in Colton, California. Qualified in 2016, 10 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 10
- Licensed in
- CA
- In the registry since
- 2016
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
400 N Pepper AveColton, CA 92324-1801
Phone: (909) 580-6266
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 (1)
- 1100 W Stewart Dr, Orange, CA 92868-3849 — (714) 628-3136
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 20A16572 (CA) |
|---|
Record details
| NPI number | 1295189850 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | April 20, 2016 |
| Last updated in NPPES | December 10, 2021 |
| Certification date | December 10, 2021 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Providence Medical Foundation — 1465 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Procedures
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1–10 times |
|---|
Medicare patients and services, 2024
| Medicare patients | 283 |
|---|---|
| Services billed | 773 |
| Average patient age | 77 |
Payments from drug and device companies, 2025
| Food and Beverage | $25 |
|---|
Practises at
- Providence St. Joseph Hospital Hospital · Orange, CA
Colleagues at Providence Medical Foundation
- Naseer Ahmad, MD Internal Medicine Physician · Coon Rapids, MN
- Tali Huseyin Arik, MD Cardiovascular Disease Physician · Redding, CA
- Nicole Awad, MD Family Medicine Physician · Orange, CA
- Panagiotis P Bougas, MD Internal Medicine Physician · Fullerton, CA
- Clelia Alexandra Clark, MD Student in an Organized Health Care Education/Training Program · Santa Rosa, CA
- Veronica Estrada, FNP Medical-Surgical Registered Nurse · Mission Viejo, CA
- Dr. Christopher John Gilbertson, DO Family Medicine Physician · Camp Pendleton, CA
- Paul Russell Gustavson, PA-C Physician Assistant · Eureka, CA
- Brandi Marie Kraus, PAC Surgical Physician Assistant · Ann Arbor, MI
- Doreen Telisak Marino, MD Hospitalist Physician · Aurora, CO
- Catherine Maikhanh Nguyen, MD Dermatology Physician · Orange, CA
- Christina Park, FNP-C Family Nurse Practitioner · Anaheim, CA
Other providers in Colton
-
Jennifer Shay Mullins, DO
400 N Pepper Ave, Colton, CA 92324-1801 · (909) 580-1000
-
Dr. Robert W Nguyen, MD
400 N Pepper Ave, Colton, CA 92324-1801 · (909) 580-1000
-
Brian L Nielsen, DO
400 N Pepper Ave, Colton, CA 92324-1801 · (909) 580-1000
-
Buzand Christopher Oganesian
400 N Pepper Ave, Colton, CA 92324-1801 · (909) 580-1000
-
Primary Critical Care Limited Partnership
400 N Pepper Ave, Colton, CA 92324-1801 · (909) 580-1000
-
Prime Wound Solutions Inc
1421 E Cooley Dr Ste 9, Colton, CA 92324-3979 · (909) 377-1171
-
Truong Dang Quach, MD
400 N Pepper Ave, Colton, CA 92324-1801 · (909) 580-1000
-
Anthony Rajasingham, MD
400 N Pepper Ave, Colton, CA 92324-1801 · (909) 580-1000