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Ji Yeon Park

Dentist · Mountain View

NPI 1205193653

Medicare standing
1 flag on the record
Listed below.
Plans that list them
1
1 carrier
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

1 location

Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Ji Yeon Park’s office at (650) 282-5555 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
AARP Medicare Advantage from UHC CA-10 (HMO-POS)UnitedHealthcareListed, may be out of dateJun 10, 2026

California Medical Board record

Licence C56024 · Cancelled

Licence status: Cancelled · since 2013 · Peking Medical University Aka Beijing Medical University.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Drugs they prescribed that Part D paid

$32

Pharmacies billed $32 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 15) in 2024. Too few prescriptions to judge: with under about 50 a year, a handful of patients can swing this share.

15 generic and 0 brand-name prescriptions · $32 in drug cost · 15 antibiotic prescriptions to 14 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Amoxicillin12$16$1

Year by year

Part D prescribing by year
202415140% (0)0%$32
20231815None0%$64
202215120% (0)0%$69
202115110% (0)0%$131
202011None0% (0)0%$37
201615None0% (0)0%$65
201512None0% (0)0%$72

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Amoxicillin14$49$4

Professional record

NPI
1205193653
Licence
CA 56024California C56024: Cancelled
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 122300000X (122300000X)
Mailing address
1702 Miramonte Ave Ste B, Mountain View, CA, 94040
NPI first listed
2012-04-23
NPI last updated
2012-04-23

This is when the NPI record was last certified, not a medical board exam.