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

Joe Park, MD

Individual provider Pain Medicine (Anesthesiology) Physician · NPI 1083645832

Joe Park, MD is an Anesthesiology in Victorville, California. Graduated from Loma Linda University School of Medicine in 1999, 27 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
27
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2006
Specialties on file
3
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

15447 W Sand St
Victorville, CA 92392-2904
Phone: (760) 843-9679
Fax: (760) 245-3618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence A86588 (CA)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence A86588 (CA)
Pain Medicine Physician Taxonomy 208VP0000X · Licence A86588 (CA)

Record details

NPI number1083645832
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESMarch 7, 2023

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Also practisesINTERVENTIONAL PAIN MANAGEMENT
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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