Active NPI
Kristine Hemi Paik, M.D.
- Anesthesiology Physician
- Fullerton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A148521
- Practice address
- 101 E Valencia Mesa Dr
Fullerton, CA 92835-3809 - Phone
- (714) 992-3000
- NPI assigned
- Mar 21, 2013
- Last updated
- Dec 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A148521 | CA | Primary |
Addresses
Primary practice location
101 E Valencia Mesa Dr
Fullerton, CA 92835-3809
Mailing address
400 N Tustin Ave Ste 400
Santa Ana, CA 92705-3850
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Northwestern University Feinberg Medical School, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 E Valencia Mesa Dr
Fullerton, CA 92835-3809
Phone (714) 871-3280
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A148521 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Anesthesia Medical Group Inc | Anesthesiology | Current | Accepting new patients |
Locations
1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363
101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505
455 S Main St
Orange, CA 92868
Phone (714) 289-4511
400 N Tustin Ave
Ste 400
Santa Ana, CA 92705
Phone (714) 619-5383
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Orange, CA
- NPI 1346267267
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Brea, CA
- NPI 1891904942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640217600000",
"number": "1427390111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N TUSTIN AVE STE 400",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E VALENCIA MESA DR",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353809",
"telephone_number": "714-992-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAIK",
"first_name": "KRISTINE",
"middle_name": "HEMI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-21",
"last_updated": "2021-12-23",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A148521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.