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

Michele Park

Individual provider Medical Physician Assistant · NPI 1063215127

Michele Park is a Physician Assistant in Corona, California. Qualified in 2024, 2 years ago. Practices with Arrae Health, a 5-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
2
In the registry since
2025
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Practice location Address checks out

802 Magnolia Ave Ste 205
Corona, CA 92879-3144
Phone: (951) 281-2730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1063215127
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 31, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing address874 American Pacific Dr, Henderson, NV 89014-8800

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Arrae Health — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Corona