Active NPI
Sharon Sunghee Baek, D.C., L.AC
- Orthopedic Chiropractor
- Garden Grove, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- DC22627
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC22627 | Other | CA | CHIROPRACTOR |
| AC 14975 | Other | CA | ACUPUNCTURE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC 22627 | CA | MD | Sports Physician Chiropractor |
| DC22627 | CA | MD | Orthopedic Chiropractor |
| AC14975 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baek Chiropractic-Acupuncture, Inc | Neurology | Current | 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.