Active NPI
Richard Sangho Paik, DDS
- General Practice Dentistry
- Palmdale, CA
National Provider Identifier
1528069259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 46207
- Practice address
- 849 W Palmdale Blvd
Palmdale, CA 93551-4261 - Phone
- (661) 538-9300
- Fax
- (661) 575-2373
- NPI assigned
- Aug 3, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 46207 | CA | Primary |
Addresses
Primary practice location
849 W Palmdale Blvd
Palmdale, CA 93551-4261
Mailing address
849 W Palmdale Blvd
Palmdale, CA 93551-4261
Phone (661) 538-9300
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150416001502 | CA | Order and Referring Only - Oral Surgery | 7113245473 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46207 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1528069259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "849 W PALMDALE BLVD",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935514261",
"telephone_number": "661-538-9300",
"fax_number": "661-575-2373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "849 W PALMDALE BLVD",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935514261",
"telephone_number": "661-538-9300",
"fax_number": "661-575-2373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAIK",
"first_name": "RICHARD",
"middle_name": "SANGHO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "46207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.