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Active NPI 1871031518 Individual Practitioner Male Practitioner

Dr. Se J Park , NP-C, DNP

Nurse Practitioner • Irvine, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Se Park, NP-C, DNP is a certified Nurse Practitioner practicing in Irvine, CA. With approximately 10 years of clinical experience since graduating from Emory University School Of Medicine in 2016, Dr. Park delivers high-quality medical care to the local community at 1000 FIVEPOINT.

Dr. Park maintains professional affiliations with City Of Hope Medical Foundation, Uci Department Of Urology and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1000 Fivepoint

Irvine, CA 926182377

Telephone 8008264673
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Irvine, CA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs +0.3 yrs vs City Avg
City Avg: 9.7 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
48 Specialists

Practicing in Irvine, CA (8378 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Park (10 Years) 10 Yrs
Irvine Specialty Average (9.7 Years) 9.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
107 82 $240.19 $108.40
99213 Established patient office or other outpatient visit, typically 15 minutes
78 52 $165.19 $77.77
81003 Automated urinalysis test
73 58 $10.96 $2.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
60 47 $148.47 $60.25
51798 Ultrasound measurement of bladder capacity after voiding
56 46 $55.32 $10.64
J9217 Leuprolide acetate (for depot suspension), 7.5 mg
54 13 $1028.00 $172.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
43 42 $288.23 $114.29
51703 Complicated insertion of bladder tube
35 11 $377.80 $131.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
32 25 $215.94 $86.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
26 26 $404.12 $167.97
99221 Initial hospital inpatient care per day, typically 30 minutes
18 18 $218.11 $85.03
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
18 13 $141.50 $28.72

Medical Specialties & State Licenses

CMS Verified: 2025-10-30
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 95023379

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License GA RN243386

Definition to come...

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License CA 95023379

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License GA RN243386

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Uci Department Of Urology

101 The City Dr S, Orange, CA 928683201

Phone: 7144566054

City Of Hope Medical Foundation

1000 Fivepoint, Irvine, CA 926182377

Phone: 9496714673

Secondary Practice Locations

1500 Duarte Rd

Duarte, CA 910103012

Phone: 8008264673

55 Whitcher St Ne Ste 250

Marietta, GA 300601169

Phone: 7704284475

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Wesley Easter , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013308428

Certified Registered Nurse Anesthetist

NPI 1013404375
Shawn Hurley , NP-C

Nurse Practitioner - Family

NPI 1013465202

Nurse Practitioner (Certified)

Sydney Chung , PA-C

Physician Assistant

NPI 1013554922

Physician Assistant (Certified)

Dr. Bharat Ranganath , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1023372554

Doctor of Medicine (M.D.)

Dr. Yufei Liu , MD PHD

Radiology - Radiation Oncology

NPI 1023515947

MDPHD

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2025

Nurse Practitioner (License #RN243386 in GA)

📍
Updated Practice Location August 27, 2025

Registered at 1000 FIVEPOINT, IRVINE, CA 926182377 (Tel: 8008264673)

📍
Updated Business Mailing Address August 27, 2025

Registered at PO BOX 512185, LOS ANGELES, CA 900510185

👤
Provider Name / Credentials Updated August 27, 2025

Recorded as SE PARK, NP-C, DNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2025

Nurse Practitioner (License #95023379 in CA)

📍
Updated Practice Location June 12, 2025

Registered at 55 WHITCHER ST NE STE 250, MARIETTA, GA 300601169 (Tel: 7704284475)

📍
Updated Business Mailing Address June 12, 2025

Registered at 55 WHITCHER ST NE STE 250, MARIETTA, GA 300601169 (Tel: 7704284475)

📍
Updated Practice Location December 06, 2022

Registered at 23961 CALLE DE LA MAGDALENA STE 500, LAGUNA HILLS, CA 926537622 (Tel: 9498551101)

📍
Updated Business Mailing Address December 06, 2022

Registered at 23961 CALLE DE LA MAGDALENA STE 500, LAGUNA HILLS, CA 926537622 (Tel: 9498445438)

NPI Profile Active February 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 02, 2017

Registered at 55 WHITCHER ST NE STE 250, MARIETTA, GA 300601169 (Tel: 6787724055)

📍
Updated Business Mailing Address February 02, 2017

Registered at 55 WHITCHER ST NE STE 250, MARIETTA, GA 300601169

👤
Provider Name / Credentials Updated February 02, 2017

Recorded as SE PARK, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2017

Nurse Practitioner (License #RN243386 in GA)

🟢
Initial NPI Registration & Enumeration February 02, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871031518
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2017
Last Update: October 30, 2025
Sole Proprietor: No

Mailing Address

Po Box 512185

Los Angeles, CA 900510185

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.