Organization Active NPI

Patrick C E Paik MD Med Corp

  • Internal Medicine Physician
  • Monterey Park, CA
National Provider Identifier
1699844456
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A32957 Issued in CA
Legal business name
PATRICK C E PAIK MD MED CORP
Practice address
600 N Garfield Avenue
Suite 312
Monterey Park, CA 91754-1171
Phone
(626) 280-0584
Fax
(626) 280-3039
NPI assigned
Nov 7, 2006
Last updated
Sep 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Patrick C E Paik, MD
Title
President
Phone
(626) 280-0584

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A32957 CA Primary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X A32957 CA

Addresses

Primary practice location

600 N Garfield Avenue
Suite 312
Monterey Park, CA 91754-1171

Mailing address

600 N Garfield Avenue
Suite 312
Monterey Park, CA 91754-1171
Phone (626) 280-0584

Other identifiers 1

IdentifierTypeStateIssuer
00A329571MedicaidCA

National Provider Directory

National Provider Directory

Locations

600 N Garfield Ave
Ste 312
Monterey Park, CA 91754
Phone (626) 280-0584

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1699844456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVENUE",
            "address_2": "SUITE 312",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541171",
            "telephone_number": "626-280-0584",
            "fax_number": "626-280-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVENUE",
            "address_2": "SUITE 312",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541171",
            "telephone_number": "626-280-0584",
            "fax_number": "626-280-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK C E PAIK MD MED CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "PAIK",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "C E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-280-0584",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A32957",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A32957",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A329571",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.