LIGAYA FRANCIS PARK (D.O.) – Dermatology Physician, NPI 1083849012

LIGAYA FRANCIS PARK (D.O.) is a healthcare provider. based in Santa rosa, California. specializing in DERMATOLOGY. They hold the professional credentials D.O.. They hold a License No. 20A12072 (CA). The NPI Number for LIGAYA FRANCIS PARK (D.O.) is 1083849012

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
LIGAYA FRANCIS PARK (D.O.)
NPI
1083849012
Phone
(707) 525-6485
Address
3536 MENDOCINO AVE
Enumeration Date
20 May 2009
Last Update Date
28 March 2022

Doctor Profile

Medical School Name
WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Secondary Phone
7075454537
Graduation Year
2008 (18 years ago)
PAC ID
5294999892
Group Practice PAC ID
0446243034
Professional Enrollment ID
I20120612000093
Address ID
CA954032805SA2725XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

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Provider Addresses for LIGAYA FRANCIS PARK (D.O.)

  • 3536, Mendocino Avenue, Santa Rosa, Sonoma County, California, 95401, United States

    STE 200

    SANTA ROSA, CA 954033634

    Phone: (707) 525-6485

    Fax: (707) 573-6918

    Type: Mailing

  • Redwood Family Dermatology, 2725, Mendocino Avenue, Santa Rosa, Sonoma County, California, 95403, United States

    SANTA ROSA, CA 954032805

    Phone: (707) 545-4537

    Fax: (707) 545-6726

    Type: Location

  • 2725 MENDOCINO AVE

    SANTA ROSA, CA 954032805

    Phone: (707) 545-4537

    Fax: (707) 545-6726

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 127 Open Payments records for all available years, with a total value of $2,866.

Total Amount is formed as General ($2,866) + Research ($0) + Ownership ($0) = $2,866.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($1,238).

Total Amount

$2,866

General + Research + Ownership

Payments

127

Total payment records

General Amount

$2,866

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2012-06-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120612000093IDermatologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths3,054529$0
99213Established patient office or other outpatient visit, 20-29 minutes1,347963$0
17000Destruction of precancer skin growth, 1 growth977721$0
11102Biopsy of related skin growth, first growth590478$0
96900Application of ultraviolet light to skin32821$0
View full utilization report →

Insurance plans in this area (ZIP 95403)

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Provider's Procedures

LIGAYA FRANCIS PARK (D.O.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYCA11101Biopsy of each additional growth of skin and/or tissue292155
DERMATOLOGYCA17003Destruction of 2-14 skin growths1763293

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446243034View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
D E R M A T O L O G YCA
Physician AssistantCA
Physician AssistantCA
D E R M A T O L O G YCA
Physician AssistantCA
Dermatology, Pediatric MedicineCA
D E R M A T O L O G YCA
Physician AssistantCA
D E R M A T O L O G YCA

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Frequently asked questions

What is the 10-digit NPI for LIGAYA FRANCIS PARK (D.O.)?
LIGAYA FRANCIS PARK (D.O.) — NPI 1083849012 — is the standard way to identify this listing.
Is LIGAYA FRANCIS PARK (D.O.) still practicing?
LIGAYA FRANCIS PARK (D.O.) is currently listed as active in the public NPI registry.
What is LIGAYA FRANCIS PARK (D.O.)'s specialty?
The listing groups LIGAYA FRANCIS PARK (D.O.) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for LIGAYA FRANCIS PARK (D.O.)?
LIGAYA FRANCIS PARK (D.O.)'s geographic hint is Santa Rosa, California in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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