Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265751697 Individual Practitioner Male Practitioner

Dr. Anthony J Park , MD

Urology • Riverside, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Park, MD is a certified Urology practicing in Riverside, CA. With approximately 16 years of clinical experience since graduating from Louisiana State University School Of Medicine In New Orleans in 2010, Dr. Park delivers high-quality medical care to the local community at 10800 MAGNOLIA AVE.

Dr. Park is affiliated with Southern California Permanente Medical Group and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

10800 Magnolia Ave
Mob 2, 2nd Floor

Riverside, CA 925053043

Telephone 8669847483
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In New Orleans

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Riverside, CA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs -8.4 yrs vs City Avg
City Avg: 24.4 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
20 Specialists

Practicing in Riverside, CA (1624 Statewide)

Telehealth Adoption Rate
40.0% 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 (16 Years) 16 Yrs
Riverside Specialty Average (24.4 Years) 24.4 Yrs

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License CA A135983

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Hospital & Practice Group Affiliations

Southern California Permanente Medical Group

10800 Magnolia Ave, Riverside, CA 925053043

Phone: 9513532000

Southern California Permanente Medical Group

27300 Iris Ave, Moreno Valley, CA 925554802

Phone: 9512430811

Southern California Permanente Medical Group

27350 Iris Ave, Moreno Valley, CA 925554802

Phone: 8669847483

Practice Associates & Co-Workers

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

40 Associated Practitioners
Sarah Devine-Cooter , FNP

Nurse Practitioner - Family

NPI 1023406675

Family Nurse Practitioner

Dr. Deborah Fung , MD

Internal Medicine

NPI 1033572110

Doctor of Medicine (M.D.)

Dr. Robert Casten , MD

Family Medicine

NPI 1063670958

Doctor of Medicine (M.D.)

NPI 1083963631

Doctor of Medicine (M.D.)

Dr. Eric Yuan , DO

Physical Medicine & Rehabilitation - Pain Medicine

NPI 1104263607

Doctor of Osteopathic Medicine (D.O.)

Dr. Mimi Le , MD

Internal Medicine - Cardiovascular Disease

NPI 1124070420

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address November 29, 2021

Registered at 10800 MAGNOLIA AVE, KAISER PERMANENTE RIVERSIDE MEDICAL CENTER, RIVERSIDE, CA 925053043 (Tel: 8669847483)

NPI Profile Active June 30, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2015

Registered at 10800 MAGNOLIA AVE, MOB 2, 2ND FLOOR, RIVERSIDE, CA 925053043 (Tel: 8669847483)

📍
Updated Business Mailing Address June 30, 2015

Registered at 10800 MAGNOLIA AVENUE, KAISER PERMANENTE RIVERSIDE MEDICAL CENTER, RIVERSIDE, CA 925050000 (Tel: 8669847483)

👤
Provider Name / Credentials Updated June 30, 2015

Recorded as ANTHONY PARK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2015

Urology (License #A135983 in CA)

🟢
Initial NPI Registration & Enumeration May 25, 2010

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: 1265751697
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2010
Last Update: November 29, 2021
Sole Proprietor: No

Mailing Address

10800 Magnolia Ave, Kaiser Permanente Riverside Medical Center

Riverside, CA 925053043

Phone: 8669847483

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.