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 EnrolledAccepts Medicare Assignment

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: August 02, 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 and is a graduate of University Of Utah School Of Medicine (2012).

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

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2012

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

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

PECOS PAC ID5799055919

PECOS Enrollment IDI20170720003382

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.

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