Jaewoo Pak, M.D.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

G077617 Issued in CA

Practice address

4840 Irvine Blvd Ste 203
Irvine, CA 92620-1962

Phone

(714) 389-7000

NPI assigned

Dec 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Internal MedicineAlso: Pain Management

Education

University of Southern California Keck School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Stems PRP, Inc

  • Pain Clinic/Center
  • Fullerton, CA
  • NPI 1083283741
  Medicare reassignment NPD Authorized official
• Stems PRP, Inc

  • Pain Clinic/Center
  • Fullerton, CA
  • NPI 1861224339
  NPD Authorized official
• Paks Medical Clinic, Inc

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

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1962567321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 IRVINE BLVD STE 203",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926201962",
            "telephone_number": "714-389-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 IRVINE BLVD STE 203",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926201962",
            "telephone_number": "714-389-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "JAEWOO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G077617",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "G077617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain Relief Acupuncture
• Pain Relief Technologies Inc.
• Paincare Medical Group, Inc.
• Pair Eyewear Inc
• Christian Daesoon Pak
• Jin Pak
• Alicia Palacios
• Brenda Palencia
• Jennifer Anne Palisoc, LMFT
• Jocenyn S Palisoc, RPH

• Pain Medicine Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.