Individual provider Active NPI

Sang Hyun Baik

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1285732370
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G83759 Issued in CA
Practice address
266 S Harvard Blvd Ste 110
Los Angeles, CA 90004-4374
Phone
(213) 388-1111
Fax
(213) 637-4755
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G83759 CA Primary

Addresses

Primary practice location

266 S Harvard Blvd Ste 110
Los Angeles, CA 90004-4374

Mailing address

266 S Harvard Blvd
Ste 110
Los Angeles, CA 90004-4374
Phone (213) 388-1111

Other practice location 1

2120 W 8th St Ste 102
Los Angeles, CA 90057-4081
Phone (213) 382-2700

Other identifiers 1

IdentifierTypeStateIssuer
2002526MedicaidCA

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070711000928 CA Practitioner - Internal MedicinePractitioner - Family Practice 1557461159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Washington School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sang H Baik MD IncGroup PAC ID 8628178225, 2 clinicians

Practice addresses (Care Compare)

266 S Harvard Blvd
Suite 110
Los Angeles, CA 90004-4374
Phone (213) 388-1111

Hospital & facility affiliations

  • Ace Home Health, Inc. Home health agency, Los Angeles, CA, CCN 058082
  • Mission Home Health Services, Inc Home health agency, Los Angeles, CA, CCN 058131

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G83759CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sang H Baik M.D., Inc Internal Medicine CurrentSince Jun 12, 2007 Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Seoul Medical Group Inc PastSince Jul 1, 2011 Accepting new patients

Locations

2120 W 8th St
Ste 102
Los Angeles, CA 90057
Phone (213) 353-4792

266 S Harvard Blvd
Ste 110
Los Angeles, CA 90004
Phone (213) 388-1111

3663 W 6th St
Ste 106
Los Angeles, CA 90020
Phone (213) 381-7272

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1285732370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 S HARVARD BLVD",
            "address_2": "STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044374",
            "telephone_number": "213-388-1111",
            "fax_number": "213-637-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 S HARVARD BLVD STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044374",
            "telephone_number": "213-388-1111",
            "fax_number": "213-637-4755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 W 8th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900574081",
            "country_code": "US",
            "telephone_number": "213-382-2700",
            "fax_number": "213-382-5077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAIK",
        "first_name": "SANG",
        "middle_name": "HYUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G83759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002526",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.