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

Mr. Sung Jin Park, PA-C

Individual provider Physician Assistant · NPI 1093457194

Mr. Sung Jin Park, PA-C is a Physician Assistant in Hollister, California. Qualified in 2022, 4 years ago. Practices with Flatow Medical Corporation APC, a 22-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1000 Fairview Rd
Hollister, CA 95023-9644
Phone: (714) 545-5550
Fax: (949) 609-0374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6850 Ontario Rd, San Luis Obispo, CA 93405-8000 — (714) 545-5550

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 60815 (CA)

Record details

NPI number1093457194
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 9, 2022
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Flatow Medical Corporation Apc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Hollister