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

Judith J. Park, MD

Individual provider Surgery Physician · NPI 1205908019

Judith J. Park, MD is a General Surgery in Richmond, California. Graduated from Tufts University School of Medicine in 1994, 32 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
32
Trained at
Tufts University School of Medicine
Licensed in
CA
In the registry since
2006
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

901 Nevin Ave
Richmond, CA 94801-3143
Phone: (510) 307-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A67521 (CA)

Record details

NPI number1205908019
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESJanuary 6, 2022
Mailing address1800 Harrison St Fl 7, Oakland, CA 94612-3466

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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