KACIE KYUNGSUN PAIK MD
NPI 1942798509
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since April 28, 2018PECOS EnrolledAccepts Medicare Assignment
200 W ARBOR DR, SAN DIEGO, CA 92103(629) 543-6268 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 7, 2020, Apr 28, 2018 (2 updates tracked since 2018).

About Kacie Kyungsun Paik Md NPPES

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

KACIE KYUNGSUN PAIK MD (NPI 1942798509) is an individual student in an organized health care education/training program in San Diego, California, licensed in California (A165648) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (2018).

NPPES Registry Identity

NPI1942798509
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKACIE KYUNGSUN PAIKCredential: MD
Location Address200 W ARBOR DRSan Diego, CA 92103-9000
Mailing Address14350 Meridian Pkwy # 2Riverside, CA 92518-3035 · (951) 827-7669 · Fax (951) 827-4280
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2018
Enumeration DateApril 28, 2018
Last NPPES UpdateAugust 7, 20202 updates tracked since enumeration
NPPES CertifiedAugust 7, 2020
NPI 1942798509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CA · A165648
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 W ARBOR DR, San Diego, CA 92103

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

Kacie Kyungsun Paik Md 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 ID4880086107
PECOS Enrollment IDI20220119001277
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

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 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.
16 services12 patients

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.

Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103
Physician Assistant (Surgical)
200 W ARBOR DR
SAN DIEGO, CA 92103

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 Kacie Paik's NPI number?

The NPI number for Kacie Paik is 1942798509. It was assigned to this individual provider in the NPPES registry on April 28, 2018.

Where is Kacie Paik located?

Kacie Paik practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (629) 543-6268.

What is Kacie Paik's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kacie Paik enrolled in Medicare?

Yes. Kacie Paik 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 Kacie Paik was last updated on August 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.