Jaesoo Pak, MD
NPI 1366633257ActiveOrganization· Clinic/Center, Endoscopy· Cerritos, CA
Clinic/Center, Endoscopy in Cerritos, California, registered in NPPES in August 2007. The authorized official on file is Jaesoo Pak, M.D., Medical Director. Medicare paid $362,272 for services to 328 patients in 2024.
Overview
| NPI | 1366633257 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 6, 2007 |
| Last updated in NPPES | Jun 19, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Endoscopy Primary | 261QE0800X | 05-C0001451 | CA |
| Clinic/Center, Ambulatory Surgical | 261QA1903X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Ambulatory Surgical Center (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 328 |
|---|---|
| Services billed | 734 across 9 procedure codes |
| Paid by Medicare | $362,272 |