Yoon Suk Pak, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A062072 Issued in CA

Practice address

11841 South St
Cerritos, CA 90703-6825

Phone

(562) 809-8082

Fax

(562) 809-3893

NPI assigned

Jul 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family PracticeAlso: Geriatric Medicine

Education

George Washington University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Medical Center IncGroup PAC ID 8123083870, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ace Home Health, Inc. Home health agency, Los Angeles, CA, CCN 058082
• Western Home Care, Inc Home health agency, Buena Park, CA, CCN 058077
• La Palma Intercommunity Hospital Hospital, La Palma, CA, CCN 050580

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• First Medical Center Inc

  • Gastroenterology Physician
  • Cerritos, CA
  • NPI 1134297492

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Yoon Pak Medical Clinic Inc

  • Family Medicine Physician
  • Cerritos, CA
  • NPI 1518810365
  Medicare reassignment NPD
• Yoon Pak MD Medical Imaging Center

  • Adult Medicine Physician
  • Cerritos, CA
  • NPI 1932341765
  Authorized official Same address or phone
• Yoon Pak, MD Medical Imaging Center, Inc

  • Clinic/Center
  • Cerritos, CA
  • NPI 1487842134
  NPD (past) Authorized official
• Anaheim Memorial Medical Center

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1295782381
  NPD (past)
• Paks Medical Clinic, Inc

  • Medical Specialty Clinic/Center
  • Cerritos, CA
  • NPI 1497975833
  NPD (past)

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

• Ace Home Health, Inc.

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1205808326
  Care Compare affiliation
• Prime Healthcare la Palma, LLC

  dba La Palma Intercommunity Hospital

  • General Acute Care Hospital
  • La Palma, CA
  • NPI 1417965559
  Care Compare affiliation
• Western Home Care, Inc.

  • Home Health Agency
  • Buena Park, CA
  • NPI 1578581518
  Care Compare affiliation

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932113313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11841 SOUTH ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036825",
            "telephone_number": "562-809-8082",
            "fax_number": "562-809-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11841 SOUTH ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036825",
            "telephone_number": "562-809-8082",
            "fax_number": "562-809-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "YOON",
        "middle_name": "SUK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A062072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "A062072",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiwoo Pai, PH.D
• Gina Wooyoung Paik, DDS
• Jaesoo Pak, M.D.
• Jinah Kim Pak, LCSW
• Min Ji Pak
• Paks Medical Clinic, Inc
• Dora Palacio
• Liliana Palacio, CASE MANAGER
• Yesenia Palacio, PPS SCHOOL COUNSELOR
• Jasmine Palacios

• Family Medicine Physician in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.