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SOO CHI BANG PA-C
NPI 1487423455
Physician Assistant in Orange, CA

Active since January 01, 2024PECOS Enrolled
1310 W STEWART DR STE 306, ORANGE, CA 92868(714) 545-5550 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2024, Jan 1, 2024 (2 updates tracked since 2024).

About Soo Chi Bang Pa-c NPPES

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

SOO CHI BANG PA-C (NPI 1487423455) is an individual physician assistant in Orange, California, licensed in California (PA63610) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487423455
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSOO CHI BANGCredential: PA-C
Location Address1310 W STEWART DR STE 306Orange, CA 92868-3838
Mailing Address1662 Cypress Grove LnDiamond Bar, CA 91765-2507
Phone(714) 545-5550
Sole ProprietorNo
Enumeration DateJanuary 1, 2024
Last NPPES UpdateJune 6, 20242 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1487423455 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 · PA63610
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.
1310 W STEWART DR STE 306, Orange, CA 92868
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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)

Soo Chi Bang Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 7

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

CINDY CHEN PA-C
Clinical Nurse Specialist (Psychiatric/Mental Health)
1310 W STEWART DR STE 306
ORANGE, CA 92868
Orange County (714) 545-5550
DIEGO FERNANDO BELALCAZAR JR. PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1310 W STEWART DR STE 306
ORANGE, CA 92868
Orange County (714) 545-5550
SARAH NICOLE HARROD
Clinical Nurse Specialist (Psychiatric/Mental Health)
1310 W STEWART DR STE 306
ORANGE, CA 92868
Orange County (714) 545-5550
DR. CHRISTY L MANTANONA LEE D.O.
Psychiatry & Neurology (Psychiatry)
1310 W STEWART DR STE 306
ORANGE, CA 92868
Orange County (714) 545-5550
MR. JUAN LUIS SANTACRUZ JR. PA-C
Physician Assistant
1310 W STEWART DR STE 306
ORANGE, CA 92868
Orange County (714) 545-5550
FATEMAH SARSAK PA-C
Physician Assistant
1310 W STEWART DR STE 306
ORANGE, CA 92868
Orange County (714) 545-5550
ERIN NICOLE BROSAMER PA-C, CAQ-PSYCH
Physician Assistant (Medical)
1310 W STEWART DR STE 306
ORANGE, CA 92868
Orange County (714) 545-5550

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 Soo Chi Bang's NPI number?

The NPI number for Soo Chi Bang is 1487423455. It was assigned to this individual provider in the NPPES registry on January 1, 2024.

Where is Soo Chi Bang located?

Soo Chi Bang practices at 1310 W Stewart Dr Ste 306, Orange, CA 92868. The listed phone number is (714) 545-5550.

What is Soo Chi Bang's specialty?

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

Is Soo Chi Bang enrolled in Medicare?

Yes. Soo Chi Bang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Soo Chi Bang was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.