Hyun Bae, M.D. a Professional Corp

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

HYUN BAE, M.D. A PROFESSIONAL CORP

Practice address

1301 20TH St
Suite 400
Santa Monica, CA 90404-2050

Phone

(310) 828-7757

NPI assigned

Jul 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hyun Bae, M.D.NPI 1528006731

Title

President

Phone

(310) 322-4278

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 5

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.

• Lisa Marie Cano, P.A.

  • Surgical Physician Assistant
  • Santa Monica, CA
  • NPI 1619912276
  Medicare reassignment
• Bernadette Beatrice Gonzalez, PA

  • Medical Physician Assistant
  • West Hollywood, CA
  • NPI 1083247175
  Medicare reassignment
• Avital R Gravanis, PA-C

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1013685932
  Medicare reassignment
• Olivia Bree Greenwald, PA

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1417411190
  Medicare reassignment
• Hyun Woo Bae, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Santa Monica, CA
  • NPI 1528006731
  Authorized official Same address or phone

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811916943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 20TH ST",
            "address_2": "SUITE 400",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042050",
            "telephone_number": "310-828-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST",
            "address_2": "SUITE 400",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042050",
            "telephone_number": "310-828-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYUN BAE, M.D. A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "HYUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-322-4278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Elizabeth Hyland, LMFT
• Hyman Gross, MD, Inc
• Robert Lee Hyman, MA CLINICAL PSYCHOLO
• Hyperdeas Com LLC
• Hyperthermia Cancer Institute
• Stella Hyun, BCBA
• Karla Gaither Iacampo, MD
• Katherine Iannuzzelli
• Monica Ibarra, MSW
• Beverly Ibeh

• Orthopaedic Surgery of the Spine Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Orthopaedic Surgery of the Spine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.