Active NPI
Samuel Pak, MD
- Nuclear Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- MD429669
- Practice address
- 902 Frostwood Dr
275
Houston, TX 77024-2420 - Phone
- (713) 461-3574
- NPI assigned
- Sep 5, 2006
- Last updated
- Mar 27, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nuclear Medicine
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Keck Medicine of Usc Imaging Centers, LLC | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Great Plains Radiology LLC | Past | Accepting new patients | |
| Innovative Radiology PA | Past | Accepting new patients | |
| Houston Progressive Radiology Associates, PLLC | Past | Accepting new patients | |
| Houston Medical Imaging | Past | 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.
-
- Radiology Clinic/Center
- Pasadena, CA
- NPI 1669292405
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
-
dba Fair Oaks Clinic
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1982644621
-
dba Radiology West
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1851334114
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1568400810
-
dba Kearney Radiologists
- Diagnostic Radiology Physician
- Kearney, NE
- NPI 1427089838
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.