Active NPI
Rose Pak
- Clinical Social Worker
- Anaheim, CA
National Provider Identifier
1144888629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 137667
- Practice address
- 1571 N Harmony Cir
Anaheim, CA 92807-6003 - Phone
- (714) 482-3242
- NPI assigned
- May 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 137667 | CA | Primary |
Addresses
Primary practice location
1571 N Harmony Cir
Anaheim, CA 92807-6003
Mailing address
1571 N Harmony Cir
Anaheim, CA 92807-6003
Phone (714) 482-3242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Santa Ana, CA 92706
Phone (619) 639-9730
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137667 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Youth Services | Past | Accepting new patients | |
| New Alternatives Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Adult Mental Health Clinic/Center
- Santa Ana, CA
- NPI 1922675644
-
- Case Management Agency
- Fountain Valley, CA
- NPI 1174989735
-
- Community/Behavioral Health Agency
- Fountain Valley, CA
- NPI 1215484019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1144888629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1571 N HARMONY CIR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928076003",
"telephone_number": "714-482-3242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1571 N HARMONY CIR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928076003",
"telephone_number": "714-482-3242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAK",
"first_name": "ROSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-30",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "137667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.