JINHWAN HARRISON BAE MD
NPI 1942943410
Family Medicine in Fullerton, CA
About Jinhwan Harrison Bae Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JINHWAN HARRISON BAE MD (NPI 1942943410) is an individual family medicine provider in Fullerton, California, licensed in California (A190726) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jinhwan Harrison Bae 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.
Medicare Billing Reassignment
Medicare enrollment records show Jinhwan Bae reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Apple Valley, CA 92308
- Reassigned Medicare billing, California enrollment
- 1,699 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92835 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jinhwan Bae's NPI number?
The NPI number for Jinhwan Bae is 1942943410. It was assigned to this individual provider in the NPPES registry on April 13, 2022.
Where is Jinhwan Bae located?
Jinhwan Bae practices at 1835 Sunny Crest Dr, Fullerton, CA 92835. The listed phone number is (714) 446-5101.
What is Jinhwan Bae's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jinhwan Bae enrolled in Medicare?
Yes. Jinhwan 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.
Which organization bills Medicare for Jinhwan Bae's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jinhwan Bae reassigns Medicare benefits to Providence Medical Foundation (Apple Valley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jinhwan Bae's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jinhwan Bae was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Jinhwan Harrison Bae, MD · NPI 1942943410
Family Medicine physician in Fullerton, California. Individual provider, active in the CMS NPPES registry since April 13, 2022.
## Identity
- **NPI:** 1942943410 (Entity type: Individual)
- **Enumerated:** April 13, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A190726 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1835 SUNNY CREST DR, Fullerton, CA 92835-3616
- **Phone:** (714) 446-5101 · **Fax:** (714) 871-3006
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Providence Medical Foundation (NPI 1053616706, Apple Valley, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1942943410) · Data from the CMS NPPES public registry.