Keon Young Park, M.D.,PH.D.
NPI 1922462571ActiveIndividual· Surgery, Pediatric Surgery· San Diego, CA
Surgery, Pediatric Surgery (M.D.,PH.D.) in San Diego, California, licensed in CA, with an NPI issued in April 2016. Kls-Martin L.P. reported $19.08 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1922462571 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D.,PH.D. |
| Sole proprietor | No |
| NPI issued | Apr 11, 2016 |
| Last updated in NPPES | Aug 27, 2026 |
| Certified by provider | Aug 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Pediatric Surgery Primary | 2086S0120X | A167193 | CA |
| Surgery | 208600000X | A167193 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
- 2025$19.08 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Kls-Martin L.P. | $19.08 | 1 |
What the 2025 payments were for
- Food and Beverage$19.08 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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