Active NPI
Karen Pak, AU.D.
- Audiologist
- Woodland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU 2712
- Practice address
- 1321 Cottonwood St
Suite 205
Woodland, CA 95695-5131 - Phone
- (530) 668-2600
- Fax
- (530) 406-0352
- NPI assigned
- Sep 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU 2712 | CA | Primary |
Addresses
Primary practice location
1321 Cottonwood St
Suite 205
Woodland, CA 95695-5131
Mailing address
3400 Data Dr
Attn: Credentialing/Payer Enrollment
Rancho Cordova, CA 95670-7956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1321 Cottonwood St
Suite 205
Woodland, CA 95695-5131
Phone (530) 668-2600
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU 2712 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Iron Audiology, Inc. | Audiologist | Past | Accepting new patients |
| Dignity Community Care | Past | Accepting new patients |
Locations
2440 W Covell Blvd
Ste 100
Davis, CA 95616
Phone (530) 668-2600
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
1321 Cottonwood St
Ste 205
Woodland, CA 95695
Phone (530) 668-2600
632 W Gibson Rd
Woodland, CA 95695
Phone (530) 666-1631
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520553600000",
"number": "1689908683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"address_2": "ATTN: CREDENTIALING/PAYER ENROLLMENT",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 COTTONWOOD ST",
"address_2": "SUITE 205",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956955131",
"telephone_number": "530-668-2600",
"fax_number": "530-406-0352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAK",
"first_name": "KAREN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-23",
"last_updated": "2018-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU 2712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.