Eugene Pahk

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A165964 Issued in CA

Practice address

14860 Roscoe Blvd Ste 200
Panorama City, CA 91402-4683

Phone

(310) 553-5203

NPI assigned

Apr 17, 2017

Last updated

Apr 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Neurology

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Kamran Parsa IncGroup PAC ID 4880909308, 22 clinicians

Innovative Medical Solutions Inc a Medical GroupGroup PAC ID 5294783080, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mission Community Hospital Hospital, Panorama City, CA, CCN 050704
• Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

• Dr Kamran Parsa Inc

  dba NeuroSpine Institute

  • Neurological Surgery Physician
  • Palmdale, CA
  • NPI 1780066373
  Medicare reassignment Care Compare group NPD
• Innovative Medical Solutions Inc a Medical Group

  • Adolescent Medicine (Internal Medicine) Physician
  • Panorama City, CA
  • NPI 1972624955
  Medicare reassignment Care Compare group NPD
• Neurological Institute of Los Angeles

  • Neurology Physician
  • Beverly Hills, CA
  • NPI 1659849040
  Medicare reassignment NPD
• Pahk Neurology

  • Neurology Physician
  • Los Angeles, CA
  • NPI 1538901574
  NPD Authorized official

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

• Deanco Healthcare LLC

  dba Mission Community Hospital

  • General Acute Care Hospital
  • Panorama City, CA
  • NPI 1750365375
  Care Compare affiliation
• Lancaster Hospital Corporation

  dba Palmdale Regional Medical Center

  • General Acute Care Hospital
  • Palmdale, CA
  • NPI 1508856535
  Care Compare affiliation

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1104350271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15227 BADLONA DR",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906383925",
            "telephone_number": "562-370-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14860 ROSCOE BLVD STE 200",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024683",
            "telephone_number": "310-553-5203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15227 Badlona Dr",
            "address_purpose": "LOCATION",
            "city": "LA Mirada",
            "state": "CA",
            "postal_code": "906383925",
            "country_code": "US",
            "telephone_number": "562-370-3236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAHK",
        "first_name": "EUGENE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-17",
        "last_updated": "2022-04-28",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A165964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arvi Jaugan Pacoy, NP-C
• Maria Consuelo Bontuyan Padal, PT
• Kristine Cachola Padilla, M.D.
• Sheila Kay Najarilla Padre
• Megan Pagan
• Elian Daniel Paiuk, MD
• Anuradha Reddy Pakanati, MD
• Eliho Alexander Pakravan, M.D.
• Reynal Maria Palafox-Rosas, MD
• Panacea Hospice, Inc

• Neurology Physician in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.