Organization Active NPI

Baek Chiropractic-Acupuncture, Inc

  • Chiropractor
  • Garden Grove, CA
National Provider Identifier
1215100748
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22627 Issued in CA
Legal business name
BAEK CHIROPRACTIC-ACUPUNCTURE, INC
Practice address
9681 Garden Grove Blvd
Suite 101-102
Garden Grove, CA 92844-1541
Phone
(714) 530-7001
Fax
(714) 530-7261
NPI assigned
Apr 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Dr. Sharon Sunghee Baek, D.C., L.AC.NPI 1922022219
Title
Owner
Phone
(714) 530-7001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC22627 CA Primary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC14975 CA

Addresses

Primary practice location

9681 Garden Grove Blvd
Suite 101-102
Garden Grove, CA 92844-1541

Mailing address

9681 Garden Grove Blvd
Suite 101-102
Garden Grove, CA 92844-1541
Phone (714) 530-7001

Other names 1

  • orange chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080605000311 CA Part B Supplier - Clinic/Group Practice 1850461625 Receives reassigned benefits from 1 practitioner
Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory

Locations

9681 Garden Grove Blvd
Ste 101102
Garden Grove, CA 92844
Phone (714) 530-7001

9681 Garden Grove Blvd
Ste 101
Garden Grove, CA 92844
Phone (714) 638-9991

9681 Garden Grove Blvd
#101102
Garden Grove, CA 92844

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1215100748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9681 GARDEN GROVE BLVD",
            "address_2": "SUITE 101-102",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441541",
            "telephone_number": "714-530-7001",
            "fax_number": "714-530-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9681 GARDEN GROVE BLVD",
            "address_2": "SUITE 101-102",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441541",
            "telephone_number": "714-530-7001",
            "fax_number": "714-530-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAEK CHIROPRACTIC-ACUPUNCTURE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "BAEK",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "SUNGHEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-530-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., L.AC."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22627",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14975",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "orange chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "orange chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.