Jonathan Keon Park, - Medicare Diagnostic Radiology in Los Angeles, CA

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Jonathan Keon Park, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Los Angeles, California. He went to Northwestern University Feinberg Medical School and graduated in 2009 and has 15 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Torrance Health Association Inc, Torrance Radiology Medical Group, Torrance Memorial Medical Center and his current practice location is 11301 Wilshire Blvd, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 478-3711.

Jonathan Keon Park is licensed to practice in Illinois (license number 125.056740) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720215486.

Contact Information

Jonathan Keon Park,
11301 Wilshire Blvd,
Los Angeles, CA 90073-1003
(310) 478-3711
Not Available

Map and Direction




Physician's Profile

Full NameJonathan Keon Park
GenderMale
SpecialityDiagnostic Radiology
Experience15 Years
Location11301 Wilshire Blvd, Los Angeles, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jonathan Keon Park attended and graduated from Northwestern University Feinberg Medical School in 2009
  NPI Data:
  • NPI Number: 1720215486
  • Provider Enumeration Date: 06/19/2009
  • Last Update Date: 02/06/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 9830351790
  • Enrollment ID: I20120510000404

Medical Identifiers

Medical identifiers for Jonathan Keon Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720215486NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 125.056740 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Torrance Memorial Medical CenterTorrance, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Torrance Health Association Inc1355302134255
Torrance Radiology Medical Group549676475519
Torrance Memorial Medical Center963808770350

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. Jonathan Keon Park allows following entities to bill medicare on his behalf.
Entity NameCounty Of Los Angeles
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851363188
PECOS PAC ID: 1850296534
Enrollment ID: O20031204001218
Entity NameTorrance Memorial Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477502797
PECOS PAC ID: 9638087703
Enrollment ID: O20040315000284
Entity NameTorrance Radiology Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457394264
PECOS PAC ID: 5496764755
Enrollment ID: O20060413000544
Entity NameTorrance Health Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083903124
PECOS PAC ID: 1355302134
Enrollment ID: O20110819000276

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. Jonathan Keon 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
Jonathan Keon Park,
11301 Wilshire Blvd,
Los Angeles, CA 90073-1003

Ph: (310) 478-3711		Jonathan Keon Park,
11301 Wilshire Blvd,
Los Angeles, CA 90073-1003

Ph: (310) 478-3711

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).

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