Christopher William Park, MD - Medicare Radiology in San Diego, CA

Christopher William Park, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in San Diego, California. His current practice location is 13280 Evening Creek Dr S, Suite 110, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 546-3800.

Christopher William Park is licensed to practice in California (license number A89672) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700863198.

Contact Information

Christopher William Park, MD
13280 Evening Creek Dr S, Suite 110,
San Diego, CA 92128-4101
(858) 546-3800
Not Available

Map and Direction




Physician's Profile

Full NameChristopher William Park
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location13280 Evening Creek Dr S, San Diego, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700863198
  • Provider Enumeration Date: 12/27/2005
  • Last Update Date: 08/19/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3971670993
  • Enrollment ID: I20090724000229

Medical Identifiers

Medical identifiers for Christopher William Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700863198NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology A89672 (California)Primary
2085R0202XRadiology - Diagnostic Radiology 2008025572 (Missouri)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Christopher William Park allows following entities to bill medicare on his behalf.
Entity NameHonorhealth Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043851793
PECOS PAC ID: 1557274057
Enrollment ID: O20031119000717
Entity NameSouthwest Diagnostic Imaging Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902896236
PECOS PAC ID: 7416946199
Enrollment ID: O20040507001294
Entity NameRadadvantage A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376719666
PECOS PAC ID: 2163597899
Enrollment ID: O20091209000071
Entity NameButler Imaging And Interventional Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659518389
PECOS PAC ID: 8426115478
Enrollment ID: O20141118001442
Entity NameProfessional Radiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043348014
PECOS PAC ID: 0941298764
Enrollment ID: O20170526001601
Entity NameCentral Valley Imaging Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275523169
PECOS PAC ID: 8628064953
Enrollment ID: O20180104000949
Entity NameRadiology Consultants Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285735571
PECOS PAC ID: 9032195128
Enrollment ID: O20181002003421
Entity NamePhoebe Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487899464
PECOS PAC ID: 8426112350
Enrollment ID: O20220627001840

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christopher William Park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Christopher William Park, MD
3509 N 34th St,
Phoenix, AZ 85018-5703

Ph: (573) 356-5886
Christopher William Park, MD
13280 Evening Creek Dr S, Suite 110,
San Diego, CA 92128-4101

Ph: (858) 546-3800

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.