Ji Seon Bae
Ji Seon Bae is a Family Nurse Practitioner provider (Nurse Practitioner) practicing in Carson, CA, registered in the NPPES registry with NPI 1619390630 since 2014.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1619390630 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Ji Seon Bae |
| Sex | Female |
| Practice address | 23517 MAIN ST STE 103, Carson, CA, 90745 |
| Phone | 5628898787 |
| Enumeration date | 2014-01-27 |
| Last updated in NPPES | 2014-01-27 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363LF0000X | Family Nurse Practitioner | Primary | 23263 | CA |
Copy-ready billing details
Provider: Ji Seon Bae NPI: 1619390630 Taxonomy: 363LF0000X (Family Nurse Practitioner) Address: 23517 MAIN ST STE 103, Carson, CA, 90745
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1497868251 | Shrikant Tamhane | Individual | Family Medicine Physician | Carson, CA |
| 1255439311 | Shigeo Irimajiri | Individual | General Practice Physician | Carson, CA |
| 1497840748 | Shrikant Tamhane, Do | Organization | Family Medicine Physician | Carson, CA |
| 1699801100 | Teresa Malone | Individual | Registered Nurse | Carson, CA |
| 1578834891 | John Cheung | Individual | Acupuncturist | Carson, CA |
| 1245784537 | Body Balance Holistics | Organization | Acupuncturist | Carson, CA |
| 1295202901 | Shrikant Tamhane Do Inc | Organization | Family Medicine Physician | Carson, CA |
Verify this record
Cross-check NPI 1619390630 against the authoritative CMS record: view Ji Seon Bae on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-01-27.