Kheir S. Mark Taper Foundation Community Clinic - Medicare Primary Care in Los Angeles, CA

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Kheir S. Mark Taper Foundation Community Clinic is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Los Angeles, California. The current practice location for Kheir S. Mark Taper Foundation Community Clinic is 3727 W 6th St Ste 200, Los Angeles, California. For appointments, you can reach them via phone at (213) 235-2500. The mailing address for Kheir S. Mark Taper Foundation Community Clinic is 3727 W 6th St Ste 200, Los Angeles, California and phone number is (213) 235-2500.

Kheir S. Mark Taper Foundation Community Clinic is licensed to practice in California (license number 960001098). The clinic also participates in the medicare program and its NPI number is 1437377454. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (213) 235-2500.

Contact Information

Kheir S. Mark Taper Foundation Community Clinic
3727 W 6th St Ste 200
Los Angeles
CA 90020-5108
(213) 235-2500
(213) 251-8647

Map and Direction


Primary Care Clinic Profile

Full NameKheir S. Mark Taper Foundation Community Clinic
SpecialityClinic/Center
Location3727 W 6th St Ste 200, Los Angeles, California
Authorized Official Name and PositionErin Pak (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact2134274000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kheir S. Mark Taper Foundation Community Clinic
3727 W 6th St Ste 200
Los Angeles
CA 90020-5108

Ph: (213) 235-2500		Kheir S. Mark Taper Foundation Community Clinic
3727 W 6th St Ste 200
Los Angeles
CA 90020-5108

Ph: (213) 235-2500

NPI Details:

NPI Number1437377454
Provider Enumeration Date04/23/2007
Last Update Date07/21/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9638180524
Medicare Enrollment IDO20060505000908

Medical Identifiers

Medical identifiers for Kheir S. Mark Taper Foundation Community Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437377454NPI-NPPES
HAP70813FOtherCAFAMILY PACT
FHC70813FMedicaidCA
BCP70813FOtherCACANCER DETECTION PROGRAM
EAP70813FOtherCAEAPC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care 960001098 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Kheir S. Mark Taper Foundation Community Clinic acts as a billing entity for following providers:
Provider NameLauri I An
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134168891
PECOS PAC ID: 4183664279
Enrollment ID: I20050509000352
Provider NameVictor H Kong
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356393573
PECOS PAC ID: 9537197405
Enrollment ID: I20050801001236
Provider NameNelson R Rosales Abrego
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275582892
PECOS PAC ID: 8022021278
Enrollment ID: I20060711000240
Provider NameJu Yun Yang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861825960
PECOS PAC ID: 2365667227
Enrollment ID: I20140709000342
Provider NameEric Ahlers Schluederberg
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871856583
PECOS PAC ID: 1759699705
Enrollment ID: I20150924002603
Provider NameYuan Liu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831456474
PECOS PAC ID: 0648417097
Enrollment ID: I20151009002308
Provider NameSeogeun Hong
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871927962
PECOS PAC ID: 3577863745
Enrollment ID: I20151120000878
Provider NameSujeong Go
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235588963
PECOS PAC ID: 8921388489
Enrollment ID: I20161129002844
Provider NameSarah Ko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336699933
PECOS PAC ID: 0042590812
Enrollment ID: I20161213002553
Provider NameSang Moon
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942554043
PECOS PAC ID: 6103109004
Enrollment ID: I20170217002110
Provider NameDaniel Sim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871042911
PECOS PAC ID: 8729364476
Enrollment ID: I20170411002046
Provider NameJocelyn Marie Lee
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1134596273
PECOS PAC ID: 8224377999
Enrollment ID: I20190225003256
Provider NameKevin John Riutzel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497101281
PECOS PAC ID: 1658626023
Enrollment ID: I20190226003466
Provider NameKumok Choi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225379282
PECOS PAC ID: 3072856210
Enrollment ID: I20190510000418
Provider NameSoojung Choi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801457437
PECOS PAC ID: 3971831843
Enrollment ID: I20190830000736
Provider NameKyung Joon Suh
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1548517980
PECOS PAC ID: 0840522504
Enrollment ID: I20191029003386
Provider NameMiyong Kim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790246478
PECOS PAC ID: 9335573328
Enrollment ID: I20191228000131
Provider NameEllen Park
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1508310673
PECOS PAC ID: 3971930330
Enrollment ID: I20200224002355
Provider NameMimi S Sanchez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386295632
PECOS PAC ID: 6002244084
Enrollment ID: I20200325003238
Provider NameHena Hyeryeon Min
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326604141
PECOS PAC ID: 2466881891
Enrollment ID: I20200406000887
Provider NameAlexander L Interiano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609407402
PECOS PAC ID: 1557790888
Enrollment ID: I20200407002452
Provider NameIda Panta Tuwatananurak
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083092753
PECOS PAC ID: 0143535294
Enrollment ID: I20200417002607
Provider NameChristine Hyun Ju Hur
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1992290779
PECOS PAC ID: 6709202492
Enrollment ID: I20200812000762
Provider NameFrank Milton Choe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194201681
PECOS PAC ID: 9436577806
Enrollment ID: I20200916002742
Provider NameJohn Kim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821441551
PECOS PAC ID: 5698012615
Enrollment ID: I20210730000461
Provider NameMoonsun Jeong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740863828
PECOS PAC ID: 8729483649
Enrollment ID: I20210816002114
Provider NameMarco Franco Ayon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740946862
PECOS PAC ID: 4789077348
Enrollment ID: I20220203002106
Provider NameAnna Emanuel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073000691
PECOS PAC ID: 0345646741
Enrollment ID: I20220523001405
Provider NameKeumhee Byeon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194325431
PECOS PAC ID: 0941683387
Enrollment ID: I20220817001339
Provider NameLaleh Mokhberi
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1689173718
PECOS PAC ID: 6709255839
Enrollment ID: I20221213001496
Provider NameRebecca Kim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528788775
PECOS PAC ID: 8426428160
Enrollment ID: I20221221002083
Provider NameKate Kyungeun Han
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831899608
PECOS PAC ID: 6002276821
Enrollment ID: I20230712001255
Provider NameJenny Lopez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1063812279
PECOS PAC ID: 1456715200
Enrollment ID: I20230912002082
Provider NameChris Harin Chang
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932738408
PECOS PAC ID: 8527469469
Enrollment ID: I20231220001922
Provider NameJessica Song
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669245247
PECOS PAC ID: 4880046366
Enrollment ID: I20240119003425

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.