Physician Profile

Lily Park, D.O.

Unclaimed Profile

About Dr. Park

Based in Modesto, CA, Lily Park, D.O. is listed in the NPI registry under dermatology. Lily graduated from Touro Un Col of Osteopathic Medicine, Henderson in 2010. Lily is also listed as specializing in internal medicine. Medicare claims data shows Lily provided 1,482 services to 861 patients. The services billed most often include destruction of precancer skin growth, 2-14 growths, established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, and destruction of skin growth, 1-14 growths.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.

Specialty

Dermatology (Primary)
Internal Medicine (Additional)
Internal Medicine (Additional)
Dermatology (Additional)

Credentials & Licensing

CA license20A12765
CA license12765
MI license5101018747
OR licenseDO184048
NPI1124333455
NPI issued08/11/2010

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Lily Park specialize in?

Lily Park is a dermatologist (skin doctor) in Modesto, CA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Dermatology”.

NPI registry

Where is Lily Park located?

Lily Park is listed at 600 Coffee Rd, Modesto, CA 95355. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Lily Park's phone number?

The number on file is (209) 521-6097. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Lily Park?

Lily Park's National Provider Identifier is 1124333455. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Lily Park train?

Lily Park attended Touro Un Col of Osteopathic Medicine, Henderson, graduating in 2010. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Lily Park have?

Lily Park has 16 years experience. Calculated from a graduation year of 2010, reported in the CMS National Downloadable File.

CMS public data

What does Lily Park do most often?

According to Medicare billing data, Lily Park performs procedures including destruction of precancer skin growth, 2-14 growths, destruction of skin growth, 1-14 growths and destruction of precancer skin growth, 1 growth; provides treatments such as application of light by qualified health care professional to destroy precancer skin growth, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Lily Park's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Lily Park. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.