SUSAN G PAK P.A.
NPI 1366497703
Physician Assistant in Beaumont, CA

Active since May 24, 2006PECOS Enrolled
81 HIGHLAND SPRINGS AVE, SUITE 200, BEAUMONT, CA 92223(951) 845-0313(909) 796-4158 Get Directions Write a Review

NPPES record last updated: July 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan G Pak P.a. NPPES

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

SUSAN G PAK P.A. (NPI 1366497703) is an individual physician assistant in Beaumont, California, licensed in California (PA14449) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366497703
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUSAN G PAKCredential: P.A.
Location Address81 HIGHLAND SPRINGS AVE, SUITE 200Beaumont, CA 92223
Mailing AddressPo Box 10069San Bernardino, CA 92423-0069 · (909) 335-4188 · Fax (909) 796-4158
Fax(909) 796-4158
Sole ProprietorNo
Enumeration DateMay 24, 2006
Last NPPES UpdateJuly 21, 2016
NPI 1366497703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA14449
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
81 HIGHLAND SPRINGS AVE, Beaumont, CA 92223

Other Identifiers 2

MedicaidOPA144490CA
Medicare UPINP02354CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Susan G Pak P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services26 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
17 services17 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
17 services17 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

Physician Assistant (Medical)
81 HIGHLAND SPRINGS AVE, STE.200
BEAUMONT, CA 92223
Physician Assistant
81 HIGHLAND SPRINGS AVE
BEAUMONT, CA 92223
Family Medicine
81 HIGHLAND SPRINGS AVE
BEAUMONT, CA 92223
Radiology (Radiation Oncology)
81 HIGHLAND SPRINGS AVE
BEAUMONT, CA 92223
Family Medicine
81 HIGHLAND SPRINGS AVE, SUITE 306
BEAUMONT, CA 92223
Internal Medicine
81 HIGHLAND SPRINGS AVE, SUITE 200
BEAUMONT, CA 92223
Allergy & Immunology
81 HIGHLAND SPRINGS AVE
BEAUMONT, CA 92223
Nurse Practitioner
81 HIGHLAND SPRINGS AVE
BEAUMONT, CA 92223

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 Susan Pak's NPI number?

The NPI number for Susan Pak is 1366497703. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Susan Pak located?

Susan Pak practices at 81 Highland Springs Ave Suite 200, Beaumont, CA 92223. The listed phone number is (951) 845-0313.

What is Susan Pak's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Susan Pak enrolled in Medicare?

Yes. Susan Pak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Pak was last updated on July 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.