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

MS. Lisa S. Park, NP

Individual provider Certified Registered Nurse Anesthetist · NPI 1225549082

MS. Lisa S. Park, NP is a Nurse Practitioner in Los Angeles, California. Qualified in 2005, 21 years ago. Practices with The Regents of the University of California, a 45-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
21
Licensed in
CA, IL
In the registry since
2017
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

757 Westwood Plz
Los Angeles, CA 90095-8358
Phone: (310) 825-9111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 300 Pasteur Dr, Palo Alto, CA 94305 — (650) 723-4000
  • 1301 20th St Ste 150, Santa Monica, CA 90404-2050 — (310) 582-7641

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95008110 (CA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 209011661 (IL)

Record details

NPI number1225549082
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 19, 2017
Last updated in NPPESMay 9, 2022
Certification dateMay 9, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice The Regents Of The University Of California — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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