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

Samuel Mo Park, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1740285907

Samuel Mo Park, MD is a Physical Medicine and Rehabilitation in Chico, California. Graduated from Wayne State University School of Medicine in 1992, 34 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California and Ohio.

Years since qualifying
34
Trained at
Wayne State University School of Medicine
Licensed in
CA, OH
In the registry since
2005
Specialties on file
2
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

340 W East Ave
Chico, CA 95926-7238
Phone: (530) 342-2777
Fax: (530) 342-2776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence G87601 (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 35076716P (OH)

Record details

NPI number1740285907
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2005
Last updated in NPPESDecember 15, 2021
Mailing address236 W East Ave Ste A, Pmb 253, Chico, CA 95926-7236

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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