Ji Yeon Park, DO
NPI 1295189850ActiveIndividual· Internal Medicine· Colton, CA
Internal Medicine (DO) with Providence Medical Foundation, practicing in Colton, California. In 2024 Medicare paid $74,611 for 283 patients, and Part D covered 564 of their prescriptions, 88% of them generic. Atricure, Inc. reported $25.20 in payments in 2025, mostly food and beverage. Lists Providence St. Joseph Hospital as a hospital affiliation.
Overview
| NPI | 1295189850 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Apr 20, 2016 |
| Last updated in NPPES | Dec 10, 2021 |
| Certified by provider | Dec 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 20A16572 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 283 |
|---|---|
| Services billed | 773 across 14 procedure codes |
| Paid by Medicare | $74,611 |
Part D prescriptions in 2024
| Prescriptions (claims) | 564 · 609 30-day fills |
|---|---|
| Patients | 210 |
| Total drug cost | $39,929 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical group
- Providence Medical FoundationVictorville, CA · 1,466 clinicians
Hospital affiliation
- Providence St. Joseph HospitalOrange, CA
Industry payments (Open Payments)
- 2025$25.20 · 1 payment from 1 company
- 2024$17.09 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Atricure, Inc. | $25.20 | 1 |
What the 2025 payments were for
- Food and Beverage$25.20 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other internal medicine physicians in Colton
- 1144256900
- 1174861876
- 1205396231
- 1265703847
- 1285165076
- 1306309273
- 1336202266
- 1396784740
- 1407395197
- 1437103322
- 1518595123
- 1720655079
All 71 internal medicine physicians in Colton · All internal medicine physicians in California