Daniel Park
NPI 1609296433ActiveIndividual· Family Medicine· Chino, CA
Family Medicine with Providence Medical Foundation, practicing in Chino, California. Their prescriptions cost Medicare Part D more than their services did: $348,081 for 4,822 claims, against $128,951 paid for services in 2024. Adc Therapeutics America, Inc. was the largest of 3 companies reporting payments in 2025, $79.06 in all, mostly food and beverage. Lists Providence St. Jude Medical Center as a hospital affiliation.
Overview
| NPI | 1609296433 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 20, 2014 |
| Last updated in NPPES | Dec 3, 2021 |
| Certified by provider | Dec 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 20A13220 | 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 - Family Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 324 |
|---|---|
| Services billed | 1,327 across 9 procedure codes |
| Paid by Medicare | $128,951 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,822 · 6,332 30-day fills |
|---|---|
| Patients | 321 |
| Total drug cost | $348,081 |
| Generic share | 78% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Family Practice |
Medical group
- Providence Medical FoundationVictorville, CA · 1,466 clinicians
Hospital affiliation
- Providence St. Jude Medical CenterFullerton, CA
Other facilities
- Vast Home Health, IncHome health agency · Burbank, CA
- Providence at Home With Compassus Hospice Care Orange CountyHospice · Anaheim, CA
- Greenfield Care Center of Fullerton, LLCNursing home · Fullerton, CA
- Park Regency Care CenterNursing home · La Habra, CA
- St. Catherine HealthcareNursing home · Fullerton, CA
- The Pavilion at Sunny HillsNursing home · Fullerton, CA
Industry payments (Open Payments)
- 2025$79.06 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Adc Therapeutics America, Inc. | $32.98 | 1 |
| Incyte Corporation | $29.27 | 1 |
| Glaxosmithkline, LLC. | $16.81 | 1 |
What the 2025 payments were for
- Food and Beverage$79.06 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 62 family medicine physicians in Chino · All family medicine physicians in California