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

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment
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: August 09, 2026.

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 and is a graduate of Other (2005).

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
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
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

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

Yong Bae 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 ID2264699487
PECOS Enrollment IDI20120131000251
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.

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.

Obstetrics & Gynecology
260 INTERNATIONAL CIR
SAN JOSE, CA 95119
Internal Medicine
260 INTERNATIONAL CIR
SAN JOSE, CA 95119
Internal Medicine
260 INTERNATIONAL CIR
SAN JOSE, CA 95119
Plastic Surgery
260 INTERNATIONAL CIR
SAN JOSE, CA 95119
Urology
260 INTERNATIONAL CIR
SAN JOSE, CA 95119
Internal Medicine (Interventional Cardiology)
260 INTERNATIONAL CIR
SAN JOSE, CA 95119
Obstetrics & Gynecology
260 INTERNATIONAL CIR
SAN JOSE, CA 95119
Pediatrics
260 INTERNATIONAL CIR
SAN JOSE, CA 95119

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 Yong Bae's NPI number?

The NPI number for Yong Bae is 1396890315. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Yong Bae located?

Yong Bae practices at 260 International Cir, San Jose, CA 95119. The listed phone number is (408) 972-3030.

What is Yong Bae's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Yong Bae enrolled in Medicare?

Yes. Yong Bae is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Yong Bae was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.