Susan Lee Park, NP, L AC
NPI 1457511123ActiveIndividual· Nurse Practitioner, Gerontology· Irvine, CA
Nurse Practitioner, Gerontology (NP, L AC) in Irvine, California, licensed in CA, with an NPI issued in June 2008.
Overview
| NPI | 1457511123 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP, L AC |
| Sole proprietor | No |
| NPI issued | Jun 16, 2008 |
| Last updated in NPPES | May 13, 2025 |
| Certified by provider | May 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 95035073 | CA |
| Acupuncturist | 171100000X | CA10252 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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