PAK PODIATRY CORP
NPI 1245370444
Clinic/Center - Podiatric in Glendale, CA
About Pak Podiatry Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAK PODIATRY CORP (NPI 1245370444) is a healthcare organization registered as a podiatric in Glendale, California and active in the NPI registry since February 2007. The organization lists James(sang) Joon Pak, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pak Podiatry Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pak Podiatry Corp, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pak Podiatry Corp's NPI number?
The NPI number for Pak Podiatry Corp is 1245370444. It was assigned to this organization in the NPPES registry on February 7, 2007.
Where is Pak Podiatry Corp located?
Pak Podiatry Corp is located at 1123 S Central Ave, Glendale, CA 91204. The listed phone number is (818) 242-8805.
What is Pak Podiatry Corp's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.
Is Pak Podiatry Corp enrolled in Medicare?
Yes. Pak Podiatry Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pak Podiatry Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Pak Podiatry Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pak Podiatry Corp was last updated on November 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Pak Podiatry Corp · NPI 1245370444
Podiatric organization in Glendale, California. Organization record, active in the CMS NPPES registry since February 7, 2007.
## Identity
- **NPI:** 1245370444 (Entity type: Organization)
- **Enumerated:** February 7, 2007
- **Primary specialty:** Clinic/Center - Podiatric · taxonomy 261QP1100X
- **Organization subpart:** No
- **Authorized official:** James(sang) Pak, OWNER
## Practice location
- **Address:** 1123 S CENTRAL AVE, Glendale, CA 91204-2212
- **Phone:** (818) 242-8805 · **Fax:** (818) 242-4442
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 8, 2007
- **Other identifiers:** Medicare NSC 5155240002 (CA); Medicare UPIN U79896 (CA); Medicare PIN W17271A (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1245370444) · Data from the CMS NPPES public registry.