JANIE PAK M.D., M.P.H.
NPI 1063777589
Obstetrics & Gynecology in San Diego, CA

Q: What is Janie Pak's NPI number?

The NPI number for Janie Pak is 1063777589. It was assigned to this individual provider in the NPPES registry on July 10, 2012.

Q: What is Janie Pak's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Janie Pak was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 10, 2012PECOS Enrolled

4650 PALM AVE, SAN DIEGO, CA 92154(858) 266-5000 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Janie Pak M.d., M.p.h. NPPES

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

JANIE PAK M.D., M.P.H. (NPI 1063777589) is an individual obstetrics & gynecology provider in San Diego, California, licensed in California (A126574) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063777589

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameJANIE PAKCredential: M.D., M.P.H.

Location Address4650 PALM AVESan Diego, CA 92154-8404

Mailing Address4650 Palm AveSan Diego, CA 92154-8404

Phone(858) 266-5000

Sole ProprietorNo

Enumeration DateJuly 10, 2012

Last NPPES UpdateNovember 30, 2021

NPPES CertifiedApril 29, 2020

✔ NPI 1063777589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CA · A126574

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4650 PALM AVE, San Diego, CA 92154

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Janie Pak M.d., M.p.h. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Janie Pak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

14 mi

Health Maintenance Organization

1288 CAMINO DEL RIO N
San Diego, CA 92108

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1023425972 (877) 608-0044

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 92154 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SAMANTHA DAVIS RAMOS PHARM.D.

Pharmacist