Individual provider Active NPI

David Paik, MD

  • Family Medicine Physician
  • Vancouver, WA
National Provider Identifier
1023218047
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60080554 Issued in WA
Practice address
100 E 33Rd St
Suite 100
Vancouver, WA 98663-2776
Phone
(360) 514-7550
Fax
(360) 514-7553
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60080554 WA Primary

Addresses

Primary practice location

100 E 33Rd St
Suite 100
Vancouver, WA 98663-2776

Mailing address

11301 NE 7TH St
Apt F8
Vancouver, WA 98684-5113
Phone (909) 435-5044

Other practice location 1

315 SE Stonemill Dr
Vancouver, WA 98684-6998
Phone (360) 729-8020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090818000669 WA Practitioner - Family Practice 2860546355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 9739092065, 101 clinicians

Practice addresses (Care Compare)

100 E 33Rd St
Suite 100
Vancouver, WA 98663-2776
Phone (360) 256-2000

400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Phone (360) 514-1734

Hospital & facility affiliations

  • Peacehealth Southwest Medical Cente Hospital, Vancouver, WA, CCN 500050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince May 1, 2025 Accepting new patients
David Paik Inc PS Current Accepting new patients
Peacehealth CurrentSince Aug 24, 2009 Accepting new patients
Peacehealth Family Medicine CurrentSince Aug 24, 2009 Accepting new patients

Locations

315 SE Stonemill Dr
Vancouver, WA 98684
Phone (360) 729-8020

100 E 33rd St
Ste 100
Vancouver, WA 98663
Phone (360) 514-7550

1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100

505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: dpaik52405@direct.peacehealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1023218047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 NE 7TH ST",
            "address_2": "APT F8",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845113",
            "telephone_number": "909-435-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 33RD ST",
            "address_2": "SUITE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632776",
            "telephone_number": "360-514-7550",
            "fax_number": "360-514-7553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 SE Stonemill Dr",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986846998",
            "country_code": "US",
            "telephone_number": "360-729-8020",
            "fax_number": "360-729-8021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAIK",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60080554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.