Peter Sungjin Pak, M.D.

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

License

A139698 Issued in CA

Practice address

27799 Medical Center Rd Ste 440
Mission Viejo, CA 92691-6400

Phone

(949) 364-1007

Fax

(949) 264-0317

NPI assigned

Apr 22, 2011

Last updated

Jul 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, MD2 enrollments

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 2

Specialty

General Surgery

Education

Albert Einstein College of Medicine of Yeshiva University, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Institute of Trauma and Acute Care IncGroup PAC ID 6204101850, 8 clinicians

Oc Trauma IncGroup PAC ID 7214205152, 8 clinicians

High Desert Medical CorporationGroup PAC ID 6103730569, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567
• Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
• Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score

78.61 of 100Reported as group

Quality

58.7

Improvement activities

40

Cost

75.08

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: peter.pak.p1@direct.lakeside.nextgenshare.com
• Direct secure messaging: ppak537146@direct.hopkinsmedicine.org

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.

• High Desert Medical Group

  • Multi-Specialty Clinic/Center
  • Lancaster, CA
  • NPI 1720196702

  Surgery

  Medicare reassignment Care Compare group NPD
• Oc Trauma Inc

  • Trauma Surgery Physician
  • Mission Viejo, CA
  • NPI 1720516628
  Medicare reassignment Care Compare group NPD
• The Institute of Trauma and Acute Care Inc

  • Trauma Surgery Physician
  • Pomona, CA
  • NPI 1740711324
  Medicare reassignment Care Compare group NPD
• Pih Health Physicians

  • Family Medicine Physician
  • Whittier, CA
  • NPI 1609233899
  Medicare reassignment NPD
• Johns Hopkins University

  dba Jhu - Anesthesia Pain MGMT

  • Pain Medicine (Anesthesiology) Physician
  • Baltimore, MD
  • NPI 1922008549
  Medicare reassignment NPD
• Johns Hopkins University

  dba Jhu - Surgical Critical Care

  • Surgical Critical Care Physician
  • Baltimore, MD
  • NPI 1235649526
  Medicare reassignment
• Bright Health Physicians of Pih

  dba PIH Health Physicians

  • Obstetrics & Gynecology Physician
  • Whittier, CA
  • NPI 1134373871
  NPD
• Pih Health Physicians

  • Anesthesiology Physician
  • Downey, CA
  • NPI 1447931506
  NPD
• Johns Hopkins University

  dba JHU - 4692 Millennium Drive - Physician

  • Ophthalmology Physician
  • Belcamp, MD
  • NPI 1376342774
  NPD
• Johns Hopkins University

  dba JHU - 6849 Old Dominion Drive - Physician

  • Neurology Physician
  • McLean, VA
  • NPI 1598552226
  NPD
• Johns Hopkins University

  dba Jhu - Surgery

  • Surgery Physician
  • Baltimore, MD
  • NPI 1689655219
  NPD

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

• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  Care Compare affiliation
• Mission Hospital Regional Medical Center

  dba Providence Mission Hospital

  • General Acute Care Hospital
  • Mission Viejo, CA
  • NPI 1912108002
  Care Compare affiliation
• Mission Hospital Regional Medical Center

  dba Mission Hospital

  • General Acute Care Hospital
  • Mission Viejo, CA
  • NPI 1992752315
  Care Compare affiliation
• Pomona Valley Hospital Medical Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1407813660
  Care Compare affiliation

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1588955694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 JELLICO AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252029",
            "telephone_number": "818-489-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27799 MEDICAL CENTER RD STE 440",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916400",
            "telephone_number": "949-364-1007",
            "fax_number": "949-264-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "PETER",
        "middle_name": "SUNGJIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-22",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D86651",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "A139698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M Packard, MD
• Clark Stuart Paddock, M.D.
• Padideh Shafiei, DMD (Mission Viejo Dental)
• Mehri Pahlavani, CRNA
• Marcelle A Paja, PT
• Rebecca Ann Pak, CPNP-PC
• Rakhi Bhatia Paleker, PA-C
• Michelle Halenda Palmer, PA-C
• Sylvain Palmer, MD
• Pamilya Home Health LLC (FirstLight Home care)

• Trauma Surgery Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Trauma Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.