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Active NPI 1184364887 Individual Practitioner Male Practitioner

Christopher C Park , CPO

Prosthetist • Tustin, CA

Professional Overview & Biography Verified Profile Summary

Christopher Park, CPO is a registered healthcare professional specializing in Prosthetist in Tustin, CA. Practice services are available at 15602 MOSHER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15602 Mosher Ave

Tustin, CA 927806427

Telephone 9493553675
Associated Practice Facility / Clinic
🏢 Sg Homecare,inc. Facility NPI 1174749972

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Tustin, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Tustin, CA (316 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

Medical Specialties & State Licenses

CMS Verified: 2022-03-30
Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License CA C46870

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Orthotist

NUCC Taxonomy Code: 222Z00000X

State License CA C46870

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 30, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2022

Registered at 15602 MOSHER AVE, TUSTIN, CA 927806427 (Tel: 9493553675)

📍
Updated Business Mailing Address March 30, 2022

Registered at 15602 MOSHER AVE, TUSTIN, CA 927806427 (Tel: 9493553675)

👤
Provider Name / Credentials Updated March 30, 2022

Recorded as CHRISTOPHER PARK, CPO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2022

Orthotist (License #C46870 in CA)

🟢
Initial NPI Registration & Enumeration March 30, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1184364887
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2022
Last Update: March 30, 2022
Sole Proprietor: No

Mailing Address

15602 Mosher Ave

Tustin, CA 927806427

Phone: 9493553675

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.