JOE PARK M.D. NPI 1083645832

NPI Information

  • NPI: 1083645832
  • Provider Name: JOE PARK, M.D.
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15447 W SAND ST
    VICTORVILLE, CA
    ZIP 92392
  • Phone: (760) 843-9679

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NPI Details

Joe Park, M.D. is a pain medicine anesthesiology in Victorville, CA with 26 years of experience. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. Joe Park, M.D. NPI is 1083645832. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

15447 W SAND ST
VICTORVILLE, CA
ZIP 92392-904
Phone: (760) 843-9679
Fax: (760) 245-3618

The NPI 1083645832 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Injection of trigger points, 3 or more muscles (HCPCS:20553)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician (HCPCS:62370)
  • Unclassified drugs (HCPCS:J3490)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
  • Testing for presence of drug, read by direct observation (HCPCS:80305)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Placement of stabilizing device to lower spine level (HCPCS:22869)
  • Placement of stabilizing device to second lower spine level (HCPCS:22870)
  • Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming (HCPCS:95972)
  • Injection of anesthetic agent and/or steroid into upper neck and back of head nerve (HCPCS:64405)
  • Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming (HCPCS:95972)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of upper or middle spine facet joint using imaging guidance, second level (HCPCS:64491)
  • Spinal fusion (HCPCS:NAN02)

The enumeration date for this NPI number is 7/6/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineA86588CALIFORNIAYes
2208VP0014XPain MedicineInterventional Pain MedicineA86588CALIFORNIANo
3208VP0000XPain MedicinePain MedicineA86588CALIFORNIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A865880MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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