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

Jina Park, MD

Individual provider Neonatal-Perinatal Medicine Physician · NPI 1093179517

Jina Park, MD is a Pediatric Medicine in Walnut Creek, California. Graduated from Saint Louis University School of Medicine in 2016, 10 years ago. Licensed in California.

Years since qualifying
10
Trained at
Saint Louis University School of Medicine
Licensed in
CA
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1425 S Main St
Walnut Creek, CA 94596-5318
Phone: (510) 752-1000
Show map & directions

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

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 152646 (CA)

Record details

NPI number1093179517
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2016
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023
Mailing address1425 S Main St, Walnut Creek, CA 94596-5318

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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