NPPES file of Aug 9, 2026

Sunyoung Park, LAC.

Physician Assistant · Rancho Cucamonga, CA

Sunyoung Park, LAC. is a physician assistant with a practice address in Rancho Cucamonga, California, and NPI 1114080801, issued on Dec 18, 2006. Check the license (California 11452, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1114080801
Name
Sunyoung Park
Credential
LAC.
Primary taxonomy
Physician Assistant 363A00000X
License number
11452 CA
Self-reported in NPPES; status is on the state search
Practice location
10801 Foothill Blvd. # 104, Rancho Cucamonga, CA 91730
Phone
(909) 989-4435
Enumerated
Dec 18, 2006
Record last updated
Jan 11, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(909) 989-4461
Medicare enrollment
Enrolled (PECOS I20210521000618); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Sunyoung Park in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license 11452
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Exer Medical CorporationGlendora, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Sunyoung Park among 14,451 physician assistant records in California

Sunyoung Park, LAC. is one of 14,451 physician assistant records with a practice address in California. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 1% of them.

  • NPI issued2006 · 1% of these records are older, 87% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileYes · 50% of these records are
  • Graduated2020 · median 2018 among the 7,214 with a school on file
  • Record last updated2021 · 40% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

59 physician assistant records list a practice address in Rancho Cucamonga

They are 59 of the 4,579 NPPES records with a practice address in Rancho Cucamonga, and 14,451 physician assistant records in California.

The 8 physician assistant records with the nearest ZIP codes

  1. Tricia Borchers, PHYSICIAN ASSISTANTRancho Cucamonga, CA 917301407908841
  2. Angela Cochran, PARancho Cucamonga, CA 917301316155310
  3. Natalie Dao, PA-CRancho Cucamonga, CA 917301942631429
  4. Miechelle Delarosa, PARancho Cucamonga, CA 917301568779528
  5. Daniel Hestehauge, P.ARancho Cucamonga, CA 917301427485762
  6. David Kirshbaum, PA-CRancho Cucamonga, CA 917301801855861
  7. Judeth McKindley, P.A.C.Rancho Cucamonga, CA 917301346437977
  8. Lauren Rodgers, PA-CRancho Cucamonga, CA 917301538562103

Common questions

What is Sunyoung Park, LAC.'s NPI number?

Sunyoung Park, LAC.'s National Provider Identifier (NPI) is 1114080801, issued on Dec 18, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Sunyoung Park, LAC. located?

The NPPES record lists a practice address at 10801 Foothill Blvd. # 104, Rancho Cucamonga, CA, 91730. Phone: (909) 989-4435. Providers update this record themselves, so call before visiting.

How can I verify Sunyoung Park, LAC.'s license?

NPPES lists California license number 11452, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.