Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790734572 Individual Practitioner Male Practitioner

Dr. Joe W Park , DC, CCSP

Chiropractor • Tustin, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joe Park, DC, CCSP is a certified Chiropractor practicing in Tustin, CA. With approximately 22 years of clinical experience since graduating from Los Angeles College Of Chiropractic in 2004, Dr. Park delivers high-quality medical care to the local community at 15991 RED HILL AVE STE 100.

Dr. Park accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

15991 Red Hill Ave Ste 100

Tustin, CA 927807320

Telephone 9497018250
Associated Practice Facility / Clinic
🏢 Ineight Enterprises, Inc. Facility NPI 1295692853

Medicare Profile & Education

Medical School

Los Angeles College Of Chiropractic

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Tustin, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs -4.9 yrs vs City Avg
City Avg: 26.9 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
90 Specialists

Practicing in Tustin, CA (12100 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 (22 Years) 22 Yrs
Tustin Specialty Average (26.9 Years) 26.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-07-08
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License CA DC29675

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License CA 29675

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Career & Practice History Timeline

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

20 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2026

Chiropractor (License #29675 in CA)

📍
Updated Practice Location February 06, 2026

Registered at 15991 RED HILL AVE STE 100, TUSTIN, CA 927807320 (Tel: 9497018250)

📍
Updated Business Mailing Address February 06, 2026

Registered at 15991 RED HILL AVE STE 100, TUSTIN, CA 927807320 (Tel: 9497018250)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2026

Chiropractor (License #DC29675 in CA)

📍
Updated Practice Location July 03, 2025

Registered at 100 COPPER MINE, IRVINE, CA 926020202 (Tel: 9497018250)

📍
Updated Business Mailing Address July 03, 2025

Registered at 100 COPPER MINE, IRVINE, CA 926020202 (Tel: 9497018250)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2025

Chiropractor (License #29675 in CA)

📍
Updated Business Mailing Address July 21, 2021

Registered at 8352 COMMONWEALTH AVE, BUENA PARK, CA 906212526 (Tel: 9497018250)

NPI Profile Active June 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2017

Registered at 801 N TUSTIN AVE STE 302, SANTA ANA, CA 927053601 (Tel: 7145640226)

📍
Updated Business Mailing Address June 15, 2017

Registered at 801 N TUSTIN AVE STE 302, SANTA ANA, CA 927053601 (Tel: (714) 564-0226)

👤
Provider Name / Credentials Updated June 15, 2017

Recorded as JOE PARK, DC, CCSP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2017

Chiropractor (License #DC29675 in CA)

📍
Updated Business Mailing Address June 05, 2017

Registered at 801 N TUSTIN AVE STE 302, SANTA ANA, CA 927053601 (Tel: 7145640226)

NPI Profile Active March 09, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 09, 2010

Registered at 801 N TUSTIN AVE, 702, SANTA ANA, CA 927053612 (Tel: 7145640226)

📍
Updated Business Mailing Address March 09, 2010

Registered at 801 N TUSTIN AVE, 702, SANTA ANA, CA 927053612 (Tel: 7145640226)

👤
Provider Name / Credentials Updated March 09, 2010

Recorded as JOE PARK, DC, CCSP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2010

Chiropractor (License #DC29675 in CA)

🟢
Initial NPI Registration & Enumeration May 09, 2006

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: 1790734572
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2006
Last Update: July 08, 2026
Sole Proprietor: No

Mailing Address

15991 Red Hill Ave Ste 100

Tustin, CA 927807320

Phone: 9497018250

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.