Taikeun Park, MD - Medicare Internal Medicine in Chula Vista, CA

Taikeun Park, MD is a medicare enrolled "Internal Medicine" physician in Chula Vista, California. His current practice location is 251 Landis Avenue, Chula Vista, California. You can reach out to his office (for appointments etc.) via phone at (619) 515-2500.

Taikeun Park is licensed to practice in California (license number C51444) 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 1831175918.

Contact Information

Taikeun Park, MD
251 Landis Avenue,
Chula Vista, CA 91910-9578
(619) 515-2500
(619) 934-9578



Physician's Profile

Full NameTaikeun Park
GenderMale
SpecialityInternal Medicine
Location251 Landis Avenue, Chula Vista, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831175918
  • Provider Enumeration Date: 12/20/2005
  • Last Update Date: 03/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7618999848
  • Enrollment ID: I20051230000447

Medical Identifiers

Medical identifiers for Taikeun Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831175918NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice C51444 (California)Secondary
207R00000XInternal Medicine C51444 (California)Primary

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. Taikeun Park allows following entities to bill medicare on his behalf.
Entity NameFamily Health Centers Of San Diego, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447281936
PECOS PAC ID: 3476446378
Enrollment ID: O20040204000923

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› Verified 4 days ago

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. Taikeun 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
Taikeun Park, MD
13788 Torrey Del Mar Dr,
San Diego, CA 92130-5629

Ph: (858) 997-5927
Taikeun Park, MD
251 Landis Avenue,
Chula Vista, CA 91910-9578

Ph: (619) 515-2500

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Internal Medicine Doctors in Chula Vista, CA

Dr. Perry V Montoya, M.D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 525 3rd Ave, Chula Vista, CA 91910
Phone: 858-499-2600    Fax: 619-585-4353
John S Videen, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 752 Medical Center Ct, Suite 302, Chula Vista, CA 91911
Phone: 619-421-3361    Fax: 619-656-8936
Daniel Cepin, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 890 Eastlake Pkwy, Suite 205, Chula Vista, CA 91914
Phone: 619-482-0300    Fax: 619-482-0959
Kenneth Burton Johnson, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 769 Medical Center Ct, Suite 202, Chula Vista, CA 91911
Phone: 619-482-8430    Fax: 619-482-8005
Dr. Michael Sonbaty, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1400 E Palomar St, Chula Vista, CA 91913
Phone: 858-499-2616    
Sara Khandan, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 835 Third Ave Ste A, Chula Vista, CA 91911
Phone: 619-425-7755    Fax: 619-425-2138
Alejandro G Hinojosa, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 340 4th Ave, Suite 8, Chula Vista, CA 91910
Phone: 619-216-7546    Fax: 619-216-7783

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