DR. JAESOO PAK M.D. NPI 1023124054

NPI Information

  • NPI: 1023124054
  • Provider Name: DR. JAESOO PAK, M.D.
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11841 SOUTH ST
    CERRITOS, CA
    ZIP 90703
  • Phone: (562) 809-8082

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NPI Details

DR. Jaesoo Pak, M.D. is a gastroenterology internal medicine in Cerritos, CA with 33 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Jaesoo Pak, M.D. NPI is 1023124054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

11841 SOUTH ST
CERRITOS, CA
ZIP 90703-825
Phone: (562) 809-8082

The NPI 1023124054 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Management using the results of remote vital sign monitoring per calendar month, first 20 minutes (HCPCS:99457)
  • Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days (HCPCS:99454)
  • Injection of drug or substance into vein (HCPCS:96374)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Blood count, hemoglobin (HCPCS:85018)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Microscopic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43252)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes (HCPCS:G0446)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Injection, methylprednisolone sodium succinate, up to 40 mg (HCPCS:J2920)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Breath test analysis for helicobacter pylori (HCPCS:83013)
  • Administration of drug for helicobacter pylori (HCPCS:83014)
  • Urinalysis, manual test (HCPCS:81002)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery (HCPCS:45384)
  • Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment (HCPCS:99453)
  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 8/22/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyG77845CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100G077845MEDICAIDCALIFORNIA
2G77845OTHERCALIFORNIAMEDICAL LICENSE NUMBER
3G03232MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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