Gene J Pak, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59385 Issued in CA

Practice address

28562 Oso Pkwy
Ste K
Rancho Santa Margarita, CA 92688-5595

Phone

(714) 397-3366

NPI assigned

Jun 17, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cho Lee Pak Dental Corporation

  • Dentist
  • Mission Viejo, CA
  • NPI 1891503207
  NPD Authorized official
• Gene J. Pak DDS Corporation

  • Dentist
  • Rancho Santa Margarita, CA
  • NPI 1477943546
  NPD (past) Authorized official

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1972824589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28562 OSO PKWY",
            "address_2": "STE K",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885599",
            "telephone_number": "949-459-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28562 OSO PKWY",
            "address_2": "STE K",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885595",
            "telephone_number": "714-397-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "GENE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orest Frangopol, a Dental Corporation (Dental Arts Center of Irvine)
• Orest Frangopol, DDS, Inc. (Dental Arts Center of Rancho Santa Margarita)
• Orly Taitz, Inc
• Matthew Kurt Ortiz, MPT, CSCS
• Catherine Moreno Ostowari, M.A.,LMFT
• Rena Alexa Palmer, PA-C
• Pan Patel (MedsRx Pharmacy)
• Tiffany Lynn Panick, P.T.
• Parajon Dental Group Inc
• Carlos J Parajon, DDS

• General Practice Dentistry in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.