Active NPI
Patrick C E Paik MD Med Corp
- Internal Medicine Physician
- Monterey Park, CA
National Provider Identifier
1699844456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A32957
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A32957 | CA | Primary |
| Nephrology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A329571 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.