Soungyeon Helen Bae, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC26180 Issued in CA

Practice address

1363 Keenan Way
San Jose, CA 95125-5989

Phone

(510) 381-3561

Fax

(408) 626-7365

NPI assigned

Oct 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Helen Bae Chiropractic

  • Chiropractor
  • San Jose, CA
  • NPI 1386725919
  NPD (past) Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164503793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ARGONAUT",
            "address_2": "280",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564133",
            "telephone_number": "949-598-9999",
            "fax_number": "949-598-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 KEENAN WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255989",
            "telephone_number": "510-381-3561",
            "fax_number": "408-626-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAE",
        "first_name": "SOUNGYEON",
        "middle_name": "HELEN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0261800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trisha Badong, NP
• Badoni Behavioral Services LLC
• Parvati Badoni
• Mohamad Sharif Badri, M.D.
• Erica Bae
• Yong Bae
• Stephanie Baek
• Yanett Susana Baez-Melchor
• Abril J Baez
• Cindy J Baez

• Chiropractor in San Jose, CA
• Providers in San Jose, CA by specialty
• Chiropractor in California

• 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.

Verify at the official NPI Registry.