Pak Medical Group, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1597 Issued in HI

Legal business name

PAK MEDICAL GROUP, LLC

Practice address

5-4280 Kuhio Hwy Unit G210
Princeville, HI 96722-5451

Phone

(210) 902-9217

NPI assigned

Feb 16, 2015

Last updated

Jan 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ho Sung Pak, D.O.

Title

Owner

Phone

(210) 902-9217

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/29617/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charlie Yadao Sonido, MD

  • Internal Medicine Physician
  • Waipahu, HI
  • NPI 1518910660
  NPD (past)

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1164813820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 INDEPENDENCE DR STE 310",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781323898",
            "telephone_number": "830-730-5025",
            "fax_number": "830-730-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5-4280 KUHIO HWY UNIT G210",
            "city": "PRINCEVILLE",
            "state": "HI",
            "postal_code": "967225451",
            "telephone_number": "210-902-9217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2009 Pat Booker Rd",
            "address_purpose": "LOCATION",
            "city": "Universal City",
            "state": "TX",
            "postal_code": "781483201",
            "country_code": "US",
            "telephone_number": "210-659-4425",
            "fax_number": "210-658-1723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1762 E Common St",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "78130",
            "country_code": "US",
            "telephone_number": "830-730-8580",
            "fax_number": "830-327-1021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "66 Gruene Park Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781302219",
            "country_code": "US",
            "telephone_number": "830-730-4375",
            "fax_number": "830-730-4203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1423 Fm 2673",
            "address_purpose": "LOCATION",
            "city": "Canyon Lake",
            "state": "TX",
            "postal_code": "781334565",
            "country_code": "US",
            "telephone_number": "830-428-3970",
            "fax_number": "830-632-2103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 Hunters Vlg Ste B",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781324899",
            "country_code": "US",
            "telephone_number": "830-627-8300",
            "fax_number": "830-327-1021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14100 Ranch Road 12 Unit 900",
            "address_purpose": "LOCATION",
            "city": "Wimberley",
            "state": "TX",
            "postal_code": "786765332",
            "country_code": "US",
            "telephone_number": "512-847-0300",
            "fax_number": "512-847-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 TX-123",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786667856",
            "country_code": "US",
            "telephone_number": "512-396-3663",
            "fax_number": "830-327-1021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1255 Ashby St Ste I",
            "address_purpose": "LOCATION",
            "city": "Seguin",
            "state": "TX",
            "postal_code": "781555100",
            "country_code": "US",
            "telephone_number": "830-372-1615",
            "fax_number": "830-373-1905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 TX-123",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786667856",
            "country_code": "US",
            "telephone_number": "512-396-3663",
            "fax_number": "830-327-1021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAK MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "HO SUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-902-9217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "1597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Princeville, HI
• Providers in Princeville, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.