NPIMap

Individual provider Active NPI

Steve Sang-Woo Bae, M.D.

  • Surgery Physician
  • Alhambra, CA
National Provider Identifier
1326072349
Registry record updated May 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A82405 Issued in CA
Practice address
25 S Raymond Ave Ste 110
Alhambra, CA 91801-7142
Phone
(626) 233-2853
Fax
(626) 626-7773
NPI assigned
Jul 10, 2006
Last updated
May 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A82405 CA Primary

Addresses

Primary practice location

25 S Raymond Ave Ste 110
Alhambra, CA 91801-7142

Mailing address

25 S Raymond Ave Ste 110
Alhambra, CA 91801-7142
Phone (626) 233-2853

Other practice location 1

1661 Hanover Rd Ste 227
City Of Industry, CA 91748-1735
Phone (626) 233-2853

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061114000462 CA Practitioner - General Surgery 4183622772 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Desert Valley Medical Group IncGroup PAC ID 4880595875, 78 clinicians

Practice addresses (Care Compare)

16850 Bear Valley Rd
Victorville, CA 92395-5794
Phone (760) 241-8000

25 S Raymond Ave
Suite 110
Alhambra, CA 91801-7142
Phone (626) 233-2853

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A82405CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Desert Valley Medical Group, Inc. Surgery CurrentSince Oct 27, 2023 Accepting new patients
Desert Valley Medical Group, Inc CurrentSince Oct 27, 2023 Accepting new patients
County of Santa Clara Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients
Advance Surgeons Medical Group Inc Surgery PastSince Jan 21, 2024 Accepting new patients

Locations

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

16850 Bear Valley Rd
Ste 104
Victorville, CA 92395

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 12

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.

Hospital & facility affiliations 5

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715990400000",
    "number": "1326072349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S RAYMOND AVE STE 110",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017142",
            "telephone_number": "626-233-2853",
            "fax_number": "626-626-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S RAYMOND AVE STE 110",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017142",
            "telephone_number": "626-233-2853",
            "fax_number": "626-626-7773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1661 Hanover Rd Ste 227",
            "address_purpose": "LOCATION",
            "city": "City Of Industry",
            "state": "CA",
            "postal_code": "917481735",
            "country_code": "US",
            "telephone_number": "626-233-2853",
            "fax_number": "626-626-7773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAE",
        "first_name": "STEVE",
        "middle_name": "SANG-WOO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-05-18",
        "certification_date": "2024-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A82405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.