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DR. JACK YUNGZEN JENG MD
NPI 1174917207
Anesthesiology in South San Francisco, CA

Active since March 26, 2015PECOS EnrolledAccepts Medicare Assignment
1200 EL CAMINO REAL, SOUTH SAN FRANCISCO, CA 94080(480) 710-7756 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2023, May 30, 2019 (2 updates tracked since 2019).

About Dr. Jack Yungzen Jeng Md NPPES

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

DR. JACK YUNGZEN JENG MD (NPI 1174917207) is an individual anesthesiology provider in South San Francisco, California, licensed in California (A148416) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Mayo Medical School (2015).

NPPES Registry Identity

NPI1174917207
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. JACK YUNGZEN JENGCredential: MD
Location Address1200 EL CAMINO REALSouth San Francisco, CA 94080-3299
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (480) 710-7756
Phone(480) 710-7756
Sole ProprietorNo
Medical School CMSMayo Medical SchoolGraduated 2015
Enumeration DateMarch 26, 2015
Last NPPES UpdateAugust 11, 20232 updates tracked since enumeration
NPPES CertifiedAugust 11, 2023
✔ NPI 1174917207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · A148416
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1200 EL CAMINO REAL, South San Francisco, CA 94080
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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

Dr. Jack Yungzen Jeng Md 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 ID3173873486
PECOS Enrollment IDI20190627003344
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.

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.

SANDRA MOONHEE LEE PHARM. D.
Pharmacist
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 742-2627
MELISSA ARGENTE RT
Respiratory Therapist, Registered
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 742-3313
DR. JAMES NICHOLAS PEROS MD
Internal Medicine
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 742-2000
DR. PIERSON CHIOU M.D.
Radiology (Diagnostic Radiology)
1200 EL CAMINO REAL, 1ST FLOOR, DEPARTMENT OF RADIOLOGY
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 742-3882
MS. LARELL LOUISE FINEREN CRNA
Nurse Anesthetist, Certified Registered
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 742-3037
EDMOND L. SCHMULBACH MD
Internal Medicine (Hematology & Oncology)
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 742-2000
EDWARD J. BADDOUR MD
Emergency Medicine
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 742-2000
ESTHER KOESHADI PHARM.D.
Pharmacist
1200 EL CAMINO REAL, KAISER PERMANENTE INPATIENT PHARMACY 3RD FLOOR
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 742-2486

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Jeng's NPI number?

The NPI number for Jack Jeng is 1174917207. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Where is Jack Jeng located?

Jack Jeng practices at 1200 El Camino Real, South San Francisco, CA 94080. The listed phone number is (480) 710-7756.

What is Jack Jeng's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jack Jeng enrolled in Medicare?

Yes. Jack Jeng is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jack Jeng was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.