Individual provider Active NPI

Samuel Pak, MD

  • Nuclear Medicine Physician
  • Houston, TX
National Provider Identifier
1821190281
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
MD429669 Issued in PA
Practice address
902 Frostwood Dr
275
Houston, TX 77024-2420
Phone
(713) 461-3574
NPI assigned
Sep 5, 2006
Last updated
Mar 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X MD429669 PA Primary

Addresses

Primary practice location

902 Frostwood Dr
275
Houston, TX 77024-2420

Mailing address

902 Frostwood Dr
275
Houston, TX 77024-2420
Phone (713) 461-3574

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
I20250916003072 CA Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 8325043052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear MedicineAlso: Diagnostic Radiology
Education
University of Arizona College of Medicine, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1000 S Fremont Ave Building A9
Suite 9518 Unit 86
Alhambra, CA 91803-8800

PO Box
Suite 31309
Los Angeles, CA 90031

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc CurrentSince Aug 3, 2025 Accepting new patients
Keck Medicine of Usc Imaging Centers, LLC CurrentSince Aug 22, 2025 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Aug 3, 2025 Accepting new patients
Great Plains Radiology LLC Past Accepting new patients
Innovative Radiology PA PastSince Sep 1, 2002 Accepting new patients
Houston Progressive Radiology Associates, PLLC Past Accepting new patients
Houston Medical Imaging PastSince Jan 30, 2011 Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5860

590 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 517-8676

590 S Fair Oaks Ave
Ste 143
Pasadena, CA 91105
Phone (626) 517-8676

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1821190281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR",
            "address_2": "275",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242420",
            "telephone_number": "713-461-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR",
            "address_2": "275",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242420",
            "telephone_number": "713-461-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "PA",
            "license": "MD429669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.