Organization Active NPI

Sang H Baik M.D., Inc

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1780886424
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G83759 Issued in CA
Legal business name
SANG H BAIK M.D., INC
Practice address
266 S Harvard Blvd Ste 110
Los Angeles, CA 90004-4374
Phone
(213) 388-1111
Fax
(213) 637-4755
NPI assigned
Jun 4, 2007
Last updated
Mar 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Dr. Sang Hyun Baik, M.D.NPI 1285732370
Title
President
Phone
(213) 388-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G83759 CA Primary

Addresses

Primary practice location

266 S Harvard Blvd Ste 110
Los Angeles, CA 90004-4374

Mailing address

266 S Harvard Blvd Ste 110
Los Angeles, CA 90004-4374
Phone (213) 388-1111

Other practice location 1

2120 W 8th St Ste 102
Los Angeles, CA 90057-4081
Phone (213) 382-2700

Other identifiers 1

IdentifierTypeStateIssuer
1285732370OtherCANPI NUMBER

Other names 1

  • SANG H BAIK M.D. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070711000937 CA Part B Supplier - Clinic/Group Practice 8628178225 Receives reassigned benefits from 2 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

266 S Harvard Blvd
Ste 110
Los Angeles, CA 90004
Phone (213) 388-1111

3663 W 6th St
Ste 106
Los Angeles, CA 90020
Phone (213) 381-7272

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1780886424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 S HARVARD BLVD STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044374",
            "telephone_number": "213-388-1111",
            "fax_number": "213-637-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 S HARVARD BLVD STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044374",
            "telephone_number": "213-388-1111",
            "fax_number": "213-637-4755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 W 8th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900574081",
            "country_code": "US",
            "telephone_number": "213-382-2700",
            "fax_number": "213-382-5077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANG H BAIK M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "BAIK",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "HYUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-388-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G83759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1285732370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANG H BAIK M.D.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SANG H BAIK M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.