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

SE J Park, NP-C, DNP

Individual provider Gerontology Nurse Practitioner · NPI 1871031518

SE J Park, NP-C, DNP is a Nurse Practitioner in Irvine, California. Graduated from Emory University School of Medicine in 2016, 10 years ago. Practices with City of Hope Medical Foundation, a 959-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Georgia.

Years since qualifying
10
Trained at
Emory University School of Medicine
Licensed in
CA, GA
In the registry since
2017
Specialties on file
4
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

See every abbreviation used in this directory →

Practice location Address checks out

1000 Fivepoint
Irvine, CA 92618-2377
Phone: (800) 826-4673
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1500 Duarte Rd, Duarte, CA 91010-3012 — (800) 826-4673
  • 55 Whitcher St Ne Ste 250, Marietta, GA 30060-1169 — (770) 428-4475

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95023379 (CA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence RN243386 (GA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 95023379 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN243386 (GA)

Record details

NPI number1871031518
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C , DNP
Sole proprietorNo
NPI enumeratedFebruary 2, 2017
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice City Of Hope Medical Foundation — 959 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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