Individual provider Active NPI

Shaun Pak

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1871171207
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A197635 Issued in CA
Practice address
757 Westwood Plaza, Anesthesiology
Los Angeles, CA 90095-7419
Phone
(310) 267-8655
NPI assigned
Mar 29, 2021
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X A197635 CA Primary

Addresses

Primary practice location

757 Westwood Plaza, Anesthesiology
Los Angeles, CA 90095-7419

Mailing address

757 Westwood Plaza, Anesthesiology
Los Angeles, CA 90095-7419
Phone (310) 267-8655

Other practice location 1

3138 Parkside Crossing Ln
Fullerton, CA 92833-5528
Phone (310) 922-8043

Other practice location 2

757 Westwood Plaza, Anesthesiology
Los Angeles, CA 90095-7419
Phone (310) 922-8043

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
I20250815000935 CA Practitioner - Anesthesiology 2769981950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Hawaii John a. Burns School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Valley Medical GroupGroup PAC ID 3577465368, 104 clinicians

Practice addresses (Care Compare)

100 W California Blvd
Pasadena, CA 91105-3010
Phone (626) 440-9161

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A197635CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Valley Medical Group Anesthesiology CurrentSince Sep 1, 2025 Accepting new patients

Locations

1668 S Garfield Ave
Alhambra, CA 91801
Phone (626) 282-0288

707 S Garfield Ave
Ste 101
Alhambra, CA 91801
Phone (626) 656-1285

15503 Ventura Blvd
Ste 200
Encino, CA 91436
Phone (818) 788-7288

3500 Barranca Pkwy
Ste 300
Irvine, CA 92606
Phone (949) 788-1133

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

1044 S Fair Oaks Ave
Pasadena, CA 91105
Phone (424) 259-3132

2615 E Washington Blvd
Pasadena, CA 91107
Phone (626) 269-2601

333 S Arroyo Pkwy
Fl 3
Pasadena, CA 91105
Phone (626) 440-9161

452 N Altadena Dr
Ste 200
Pasadena, CA 91107
Phone (626) 432-5032

542 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 449-8910

55 Valley St
Pasadena, CA 91105
Phone (626) 397-8335

625 S Fair Oaks Ave
Ste 380
Pasadena, CA 91105
Phone (626) 229-8992

797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434

800 E Colorado Blvd
Ste 260
Pasadena, CA 91101
Phone (626) 449-6494

800 S Raymond Ave
Pasadena, CA 91105
Phone (626) 795-8051

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1871171207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLAZA, ANESTHESIOLOGY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900957419",
            "telephone_number": "310-267-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLAZA, ANESTHESIOLOGY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900957419",
            "telephone_number": "310-267-8655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3138 Parkside Crossing Ln",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928335528",
            "country_code": "US",
            "telephone_number": "310-922-8043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "757 Westwood Plaza, Anesthesiology",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900957419",
            "country_code": "US",
            "telephone_number": "310-922-8043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAK",
        "first_name": "SHAUN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A197635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.