Individual provider Active NPI

Sharon Sunghee Baek, D.C., L.AC

  • Orthopedic Chiropractor
  • Garden Grove, CA
National Provider Identifier
1922022219
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
DC22627 Issued in CA
Practice address
9681 Garden Grove Blvd Ste 101-102
Garden Grove, CA 92844-1541
Phone
(714) 530-7001
Fax
(714) 530-7261
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X DC22627 CA Primary
Sports Physician Chiropractor 111NS0005X DC 22627 CA
Radiology Chiropractor 111NR0200X DC22627 CA
Neurology Chiropractor 111NN0400X DC22627 CA
Acupuncturist 171100000X AC14975 CA

Addresses

Primary practice location

9681 Garden Grove Blvd Ste 101-102
Garden Grove, CA 92844-1541

Mailing address

9681 Garden Grove Blvd Ste 101-102
Garden Grove, CA 92844-1541
Phone (714) 530-7001

Other identifiers 2

IdentifierTypeStateIssuer
DC22627OtherCACHIROPRACTOR
AC 14975OtherCAACUPUNCTURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080605000292 CA Practitioner - Chiropractic 6406926278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9681 Garden Grove Blvd
Suite 101 102
Garden Grove, CA 92844-1541
Phone (714) 530-7001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 22627CAMDSports Physician Chiropractor
DC22627CAMDOrthopedic Chiropractor
AC14975CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Baek Chiropractic-Acupuncture, Inc Neurology CurrentSince Apr 5, 2008 Accepting new patients
Orange Acu-Chiro Center Orthopedic Past Accepting new patients

Locations

9681 Garden Grove Blvd
Ste 101
Garden Grove, CA 92844
Phone (714) 638-9991

9681 Garden Grove Blvd
Ste 101102
Garden Grove, CA 92844
Phone (714) 530-7001

9681 Garden Grove Blvd
#101102
Garden Grove, CA 92844

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1922022219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9681 GARDEN GROVE BLVD STE 101-102",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441541",
            "telephone_number": "714-530-7001",
            "fax_number": "714-530-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9681 GARDEN GROVE BLVD STE 101-102",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441541",
            "telephone_number": "714-530-7001",
            "fax_number": "714-530-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEK",
        "first_name": "SHARON",
        "middle_name": "SUNGHEE",
        "name_prefix": "Dr.",
        "credential": "D.C., L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "DC22627",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC 22627",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "CA",
            "license": "DC22627",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": "DC22627",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14975",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "DC22627",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "AC 14975",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.