Joe W. Park, DC, CCSP
NPI 1790734572ActiveIndividual· Chiropractor· Tustin, CA
Chiropractor (DC, CCSP) in Tustin, California, trained at Los Angeles College of Chiropractic (class of 2004). Enrolled in Medicare as practitioner - chiropractic.
Overview
| NPI | 1790734572 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DC, CCSP |
| Sole proprietor | No |
| NPI issued | May 9, 2006 |
| Last updated in NPPES | Jul 8, 2026 |
| Certified by provider | Jul 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | DC29675 | CA |
| Chiropractor | 111N00000X | 29675 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Chiropractic (CA) |
|---|
Education and affiliations
| Medical school | Los Angeles College of Chiropractic |
|---|---|
| Graduation year | 2004 |
| Medicare specialty | Chiropractic |
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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