JI SUN BAEK M.D.
NPI 1164816070
Anesthesiology in Vallejo, CA

Q: What is Ji Sun Baek's NPI number?

The NPI number for Ji Sun Baek is 1164816070. It was assigned to this individual provider in the NPPES registry on March 28, 2015.

Q: What is Ji Sun Baek's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Ji Sun Baek was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2015PECOS EnrolledAccepts Medicare Assignment

975 SERENO DR, VALLEJO, CA 94589(707) 651-2011 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Ji Sun Baek M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JI SUN BAEK M.D. (NPI 1164816070) is an individual anesthesiology provider in Vallejo, California, licensed in California (147376) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1164816070

Entity TypeIndividualFemale

Primary Taxonomy207L00000X

Provider Legal NameJI SUN BAEKCredential: M.D.

Location Address975 SERENO DRVallejo, CA 94589-2441

Mailing Address975 Sereno DrVallejo, CA 94589-2441

Phone(707) 651-2011

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 28, 2015

Last NPPES UpdateJanuary 30, 2023

NPPES CertifiedJanuary 30, 2023

✔ NPI 1164816070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in CA · 147376

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

975 SERENO DR, Vallejo, CA 94589

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ji Sun Baek M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890027528

PECOS Enrollment IDI20191030002273

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERTA YIWUN WANG M.D.

Physical Medicine & Rehabilitation