Active NPI
Robert S Baek, D.C.
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1144239195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC28622
- Practice address
- 2681 W Olympic Blvd
Suite 2201
Los Angeles, CA 90006-2810 - Phone
- (213) 383-7030
- Fax
- (213) 383-7031
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC28622 | CA | Primary |
Addresses
Primary practice location
2681 W Olympic Blvd
Suite 2201
Los Angeles, CA 90006-2810
Mailing address
2681 W Olympic Blvd
Suite 2201
Los Angeles, CA 90006-2810
Phone (213) 383-7030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC28622 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rolandheights Care Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Podiatrist
- Los Angeles, CA
- NPI 1932158540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144239195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2681 W OLYMPIC BLVD",
"address_2": "SUITE 2201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900062810",
"telephone_number": "213-383-7030",
"fax_number": "213-383-7031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2681 W OLYMPIC BLVD",
"address_2": "SUITE 2201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900062810",
"telephone_number": "213-383-7030",
"fax_number": "213-383-7031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAEK",
"first_name": "ROBERT",
"middle_name": "S",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC28622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.