Hooshang Pak, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A36596 Issued in CA

Practice address

2888 Long Beach Blvd
Suite 240
Long Beach, CA 90806-1530

Phone

(562) 595-7696

Fax

(562) 490-3846

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Neurosurgery

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coast Neurosurgical Associates a Medical GroupGroup PAC ID 2567471022, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Coast Neurosurgical Associates a Medical Group

  dba Coast Neurosurgical Associates

  • Neurological Surgery Physician
  • Long Beach, CA
  • NPI 1053406454
  Medicare reassignment Care Compare group NPD
• Long Beach Memorial Medical

  • Rehabilitation Hospital Unit
  • Long Beach, CA
  • NPI 1396791414
  NPD (past)
• Long Beach Memorial Medical

  dba Miller Children's Hospital

  • Children's Hospital
  • Long Beach, CA
  • NPI 1477596583
  NPD (past)

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

• Long Beach Memorial Medical

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1962442012
  Care Compare affiliation

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1518908094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 LONG BEACH BLVD",
            "address_2": "SUITE 240",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061530",
            "telephone_number": "562-595-7696",
            "fax_number": "562-490-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 LONG BEACH BLVD",
            "address_2": "SUITE 240",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061530",
            "telephone_number": "562-595-7696",
            "fax_number": "562-490-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "HOOSHANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A36596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WA36596A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ID",
            "identifier": "W19727",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A36596",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pain Doctors MD Medical Corporation
• Pain Management Medical Center
• Marleny Pais Sampedro, ACSW
• Paola Cecilia Pajares
• Adela Pajazetovic
• Leakana Pak
• Connor Pakin
• Steven Lance Pakiz, DDS
• Shawn Pakravan
• Ioana Pal, PSYD

• Neurological Surgery Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.

Verify at the official NPI Registry.