Soo Hyun Baek, PA
Individual provider Active NPI Physician Assistant · Fort Hood, TX
NPI 1346498474 · NPPES record last updated Sep 3, 2008
Key facts
- NPI
- 1346498474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 36000 Darnall Loop
Carl R Darnall Army Medical Center
Fort Hood, TX 76544-4752 - Phone
- (254) 288-8025
- NPI assigned
- Sep 3, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vanguard Medical Corporation
Practice addresses (Care Compare)
565 Kern St
Shafter, CA 93263-2133
Phone (661) 746-4937
8150 Hageman Rd
Bakersfield, CA 93312-1959
Phone (661) 459-1010
Hospital & facility affiliations
- Adventist Health Bakersfield
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230921003924 | CA | Practitioner - Physician Assistant | 9234583477 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanguard Medical Corporation | Current |
Accepting new patients | |
| Vanguard Medical Corporation | Past | Accepting new patients | |
| Vanguard Medical Corporation | Past | Accepting new patients |
Locations
565 Kern St
Shafter, CA 93263
Phone (661) 746-4937
841 7th St
Wasco, CA 93280
Phone (661) 459-1001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
36000 Darnall Loop
Carl R Darnall Army Medical Center
Fort Hood, TX 76544-4752
Mailing address
36000 Darnall Loop
Fort Hood, TX 76544-4752
Phone (254) 288-8025
Other providers in Fort Hood, TX
- Chelsea Ausman
- Ray-Anthony Aviles
- Heather Avinger
- Steven Michael Ayers
- Christine M Bacsa
- Romia Michele Evans Baggs
- Grace Baik
- James Wook Baik
- Corey Andrew Bailey
- Rhonda Bailey
All providers in Fort Hood, TX · Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.