Individual provider Active NPI

Eunice Pae, M.D.

  • Emergency Medicine Physician
  • Torrance, CA
National Provider Identifier
1356572267
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A113819 Issued in CA
Practice address
1000 W Carson St
Dept of Emergency Medicine, Trailer D-9
Torrance, CA 90502-2004
Phone
(310) 222-1867
NPI assigned
Jul 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X A113819 CA Primary

Addresses

Primary practice location

1000 W Carson St
Dept of Emergency Medicine, Trailer D-9
Torrance, CA 90502-2004

Mailing address

3555 Cesar Chavez
Dept of Emergency Medicine
San Francisco, CA 94110
Phone (415) 641-6625

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
I20120515000725 CA Practitioner - Emergency Medicine 6507029378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Florida College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mills-Peninsula Emergency Medical Associates, IncGroup PAC ID 4183668908, 28 clinicians

Practice addresses (Care Compare)

1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone (650) 696-5500

Hospital & facility affiliations

  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007

Merit-based Incentive Payment System (MIPS)

Final score
94.03 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A113819CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mills Peninsula Emergency Medical Associates Inc Single Specialty CurrentSince Oct 1, 2020 Accepting new patients
San Francisco Emergency Medical Associates Single Specialty CurrentSince Jul 10, 2012 Accepting new patients
Mills Peninsula Emergency Medical Associates Inc Single Specialty CurrentSince Oct 1, 2020 Accepting new patients

Locations

1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520

2351 Clay St
Ste 501
San Francisco, CA 94115
Phone (415) 600-3898

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

45 Castro St
San Francisco, CA 94114
Phone (415) 241-5695

Interoperability endpoints

  • Direct secure messaging: epae183221@hisp.ehr.sutterhealth.org

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": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1356572267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 CESAR CHAVEZ",
            "address_2": "DEPT OF EMERGENCY MEDICINE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110",
            "telephone_number": "415-641-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST",
            "address_2": "DEPT OF EMERGENCY MEDICINE, TRAILER D-9",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022004",
            "telephone_number": "310-222-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAE",
        "first_name": "EUNICE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A113819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.