Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457092785 Individual Practitioner Female Practitioner

Dr. Risa Park , DO

Pediatrics • La Mesa, CA

Professional Overview & Biography Verified Profile Summary

Dr. Risa Park, DO is a certified Pediatrics practicing in La Mesa, CA. With approximately 4 years of clinical experience since completing medical education in 2022, Dr. Park delivers high-quality medical care to the local community at 5525 GROSSMONT CENTER DR FL 5.

Dr. Park does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

5525 Grossmont Center Dr Fl 5

La Mesa, CA 919423014

Telephone 8584992600
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in La Mesa, CA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -3.3 yrs vs City Avg
City Avg: 7.3 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
34 Specialists

Practicing in La Mesa, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Park (4 Years) 4 Yrs
La Mesa Specialty Average (7.3 Years) 7.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-08-11
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA 24176

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Michelle Cao , MD

Family Medicine

NPI 1003129842

Doctor of Medicine (M.D.)

Sydney Hartley

Nurse Practitioner - Family

NPI 1003591108
Dr. Perry Montoya , MD

Internal Medicine

NPI 1003826256

Doctor of Medicine (M.D.)

Dr. Timothy Hinman , MD

Emergency Medicine

NPI 1003896945

Doctor of Medicine (M.D.)

NPI 1013168483

Doctor of Medicine (M.D.)

Kelly Young , RD, CDE

Dietitian, Registered

NPI 1013394865

Registered Dietitian, Certified Diabetes Educator

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 11, 2025

Registered at 5525 GROSSMONT CENTER DR FL 5, LA MESA, CA 919423014 (Tel: 8584992600)

📍
Updated Business Mailing Address August 11, 2025

Registered at 5525 GROSSMONT CENTER DR FL 5, LA MESA, CA 919423014 (Tel: 8606792147)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2025

Pediatrics (License #24176 in CA)

NPI Profile Active April 01, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2022

Registered at 282 WASHINGTON ST, HARTFORD, CT 061063322 (Tel: 8605459000)

📍
Updated Business Mailing Address April 01, 2022

Registered at 263 FARMINGTON AVE, FARMINGTON, CT 060301921 (Tel: 8606792147)

👤
Provider Name / Credentials Updated April 01, 2022

Recorded as RISA PARK, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 01, 2022

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: 1457092785
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2022
Last Update: August 11, 2025
Sole Proprietor: No

Mailing Address

5525 Grossmont Center Dr Fl 5

La Mesa, CA 919423014

Phone: 8606792147

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.