Medipark Physicians Group P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEDIPARK PHYSICIANS GROUP P.C.

Practice address

7825 Engineer Rd Ste 100
San Diego, CA 92111-1924

Phone

(858) 277-7111

Fax

(858) 277-7667

NPI assigned

Oct 16, 2024

Organization subpart

No

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

Authorized official

Name

Jessica Baik, MDNPI 1386168821

Title

Representative

Phone

(858) 277-7111

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Seungeun Baik, MD

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1386168821
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1609696319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7825 ENGINEER RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111924",
            "telephone_number": "858-277-7111",
            "fax_number": "858-277-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7825 ENGINEER RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111924",
            "telephone_number": "858-277-7111",
            "fax_number": "858-277-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIPARK PHYSICIANS GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "BAIK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "REPRESENTATIVE",
        "authorized_official_telephone_number": "858-277-7111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699799593",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386168821",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083827273",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Medina
• Vanessa Medina
• Vanessa K Medina
• Veronica Oralia Medina
• Victor Medina, M.A. O.T.R
• Medixpartners.Com, a Professional Medical Corporation
• Medizen Heatlh & Wellness
• Jarrett Edward Medley
• Taylor Medlin
• Ladislav Mednansky, DDS

• Family Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.