DR. DAVID RAE PARK (MD) – Family Medicine Physician, NPI 1003855313
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for DR. DAVID RAE PARK (MD)
8041 Newman Ave
Huntington Beach, CA 92647
Phone: (888) 499-9303
Type: Location
PO BOX 35380
LAS VEGAS, NV 891335380
Phone:
Type: Mailing
1661 GOLDEN RAIN RD
SEAL BEACH, CA 907404907
Phone: (562) 493-9581
Fax: (562) 795-6389
Type: Location
Nick I Devani, DDS, 10601, Walker Street, Cypress, Orange County, California, 90630, United States
STE 250
CYPRESS, CA 906304733
Phone: (888) 499-9303
Type: Mailing
8041, Newman Avenue, Liberty Park, Huntington Beach, Orange County, California, 92647, United States
HUNTINGTON BEACH, CA 92647
Phone: (888) 499-9303
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $402.
Total Amount is formed as General ($402) + Research ($0) + Ownership ($0) = $402.
Last reported payment date: 2024-05-16 • Largest payer in this snapshot: Keystone Dental Inc. ($336).
Total Amount
$402
General + Research + Ownership
Payments
7
Total payment records
General Amount
$402
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Keystone Dental Inc. | $336 |
| Inari Medical, Inc. | $30 |
| Straumann USA LLC | $20 |
| Boston Scientific Corporation | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-09-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190916000807 | I | Family Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 364 | 132 | $0 |
| G0008 | Administration of influenza virus vaccine | 157 | 157 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 154 | 154 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 68 | 14 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 39 | $0 |
Insurance plans in this area (ZIP 92647)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CA | |
| - | CA | |
| - | CA | |
| Family Practice | CA | |
| - | CA | |
| - | CA | |
| Physical Therapist In Private Practice | NV | |
| Internal Medicine | CA | |
| - | CA | |
| Internal Medicine, Geriatric Medicine | CA |
Reviews
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