JAE GON BAE – NPI #1275072100
Radiologic Technologist

A radiologic technologist who specializes in nuclear medicine technology and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of nuclear medicine imaging, administration of radiopharmaceuticals to patients, exam techniques, equipment protocols, radiation safety, and patient care.

JAE GON BAE is a radiologic technologist located in SAN DIEGO, CA. NPPES has assigned the NPI number 1275072100 to JAE GON BAE on February 12, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2471N0900X from the Health Care Provider Taxonomy code set, which is classified as Radiologic Technologist, specializing in Nuclear Medicine Technology Radiologic Technologist

The NPI profile was previously updated about 5 years ago on Apr 06, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAE GON BAE below.

NPI Profile for
JAE GON BAE

NPI Number
1275072100
Enumeration Date

(more than 9 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JAE GON BAE
Primary location
4440 TWAIN AVE APT 277
SAN DIEGO, CA 92120-3478
Phone: (954) 393-9732 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Apr 06, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2471N0900X
- Radiologic Technologist / Nuclear Medicine Technology Radiologic Technologist (Primary)
FL CRT89082

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.