NPIMap

Organization Active NPI

Ken Min Chai Pak M.D.

  • Clinic/Center
  • Van Nuys, CA
National Provider Identifier
1972533875
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A055770 Issued in CA
Legal business name
KEN MIN CHAI PAK M.D.
Practice address
14540 Victory Blvd
Suite 100
Van Nuys, CA 91411-1600
Phone
(818) 989-9700
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Min Chai Pak, M.D.NPI 1598718108
Title
Physician/Owner
Phone
(626) 564-8457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A055770 CA Primary

Addresses

Primary practice location

14540 Victory Blvd
Suite 100
Van Nuys, CA 91411-1600

Mailing address

315 S Grand Oaks Ave
Pasadena, CA 91107-5009

National Provider Directory

National Provider Directory

Locations

2423 E Colorado Blvd
Pasadena, CA 91107
Phone (626) 793-5060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972533875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S GRAND OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911075009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 VICTORY BLVD",
            "address_2": "SUITE 100",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111600",
            "telephone_number": "818-989-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN MIN CHAI PAK M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "MIN CHAI",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "626-564-8457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A055770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.