YONG BAE
NPI 1396890315
Physician Assistant - Surgical in San Jose, CA

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since January 23, 2007PECOS Enrolled

260 INTERNATIONAL CIR, SAN JOSE, CA 95119(408) 972-3030 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Yong Bae NPPES

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

YONG BAE (NPI 1396890315) is an individual surgical provider in San Jose, California, licensed in California (PA 18423) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396890315

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameYONG BAE

Location Address260 INTERNATIONAL CIRSan Jose, CA 95119-1130

Mailing Address408 Chelsea XingSan Jose, CA 95138-1320 · (408) 281-1426

Phone(408) 972-3030

Sole ProprietorNo

Enumeration DateJanuary 23, 2007

Last NPPES UpdateJanuary 3, 2022

✔ NPI 1396890315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · PA 18423

260 INTERNATIONAL CIR, San Jose, CA 95119

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yong Bae 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.