Individual provider Active NPI

Marian Pak, D.O.

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1790128841
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20A13783 Issued in CA
Practice address
1300 N Vermont Ave Ste 1001
Los Angeles, CA 90027
Phone
(323) 473-5499
NPI assigned
Apr 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 20A13783 CA Primary

Addresses

Primary practice location

1300 N Vermont Ave Ste 1001
Los Angeles, CA 90027

Mailing address

200 E. Sandpoint
Suite 725
Santa Ana, CA 92707
Phone (949) 722-7038

Other practice location 1

8215 Van Nuys Blvd Ste 104
Panorama City, CA 91402-4855
Phone (818) 994-4010

Other practice location 2

155 N Fresno St
Fresno, CA 93701-2302
Phone (559) 499-6548

Other identifiers 1

IdentifierTypeStateIssuer
20A13783OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180308002018 CA Practitioner - Obstetrics/Gynecology 9830450832 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

6557 Greenleaf Ave
Whittier, CA 90601-4108

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
13783CAMDAcupuncturist
20A13783CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Apr 16, 2021 Accepting new patients
Joon Choi MD a Professional Corporation CurrentSince Feb 4, 2018 Accepting new patients
Bright Health Physicians of Pih CurrentSince Apr 16, 2021 Accepting new patients
Pih Health Physicians Current Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Mar 9, 2020 Accepting new patients
Joon Choi, MD. Apc Obstetrics & Gynecology CurrentSince Feb 4, 2018 Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

1245 Wilshire Blvd
Ste 690
Los Angeles, CA 90017
Phone (213) 977-4190

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

8215 Van Nuys Blvd
Ste 104
Panorama City, CA 91402
Phone (818) 994-4010

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

8100 Sunland Blvd
Sun Valley, CA 91352
Phone (818) 242-6811

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: marianpak@pihh.allscriptsdirect.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1790128841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E. SANDPOINT",
            "address_2": "SUITE 725",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92707",
            "telephone_number": "949-722-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE STE 1001",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90027",
            "telephone_number": "323-473-5499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8215 Van Nuys Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Panorama City",
            "state": "CA",
            "postal_code": "914024855",
            "country_code": "US",
            "telephone_number": "818-994-4010",
            "fax_number": "818-994-4033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 N Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937012302",
            "country_code": "US",
            "telephone_number": "559-499-6548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAK",
        "first_name": "MARIAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A13783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20A13783",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.