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MS. JACQUELINE CHEN
NPI 1194251777
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since May 03, 2017PECOS Enrolled
747 52ND ST RM 245, OAKLAND, CA 94609(510) 428-3331(510) 601-3979 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Jacqueline Chen NPPES

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

MS. JACQUELINE CHEN (NPI 1194251777) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194251777
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. JACQUELINE CHEN
Location Address747 52ND ST RM 245Oakland, CA 94609-1809
Mailing Address747 52nd St Rm 245Oakland, CA 94609-1809 · (510) 428-3331 · Fax (510) 601-3979
Phone(510) 428-3331
Fax(510) 601-3979
Sole ProprietorNo
Enumeration DateMay 3, 2017
Last NPPES UpdateDecember 21, 2021
✔ NPI 1194251777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
747 52ND ST RM 245, Oakland, CA 94609
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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)

Ms. Jacqueline Chen 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 Reassignments

4

Medicare enrollment records show Jacqueline Chen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc
8.6 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555
University Of California San Francisco
12 mi
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
NPI 1346329380 (415) 353-2161
Ucsf Medical Group Business Services
12 mi
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
NPI 1477624104 (415) 353-2808
Ucsf Pediatrics Associates
12 mi
Pediatrics
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 1,159 clinicians in this Medicare group
NPI 1376614016 (415) 353-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLAIRE LANDE MD
Pediatrics
747 52ND ST RM 245
OAKLAND, CA 94609
Alameda County (510) 482-3000
CLARISSA ROSE CAMARILLO MD
Pediatrics
747 52ND ST RM 245
OAKLAND, CA 94609
Alameda County (510) 428-3331
SHIVANI SRIVASTAV
Student in an Organized Health Care Education/Training Program
747 52ND ST RM 245
OAKLAND, CA 94609
Alameda County (510) 428-3885
KRYSTAL VASOYA M.D.
Pediatrics
747 52ND ST RM 245
OAKLAND, CA 94609
Alameda County (510) 428-3331
DR. IRIS BYRNES-FINGER MD
Student in an Organized Health Care Education/Training Program
747 52ND ST RM 245
OAKLAND, CA 94609
Alameda County (510) 428-3331
DR. MARAMAWIT WUBESHET M.D.
Student in an Organized Health Care Education/Training Program
747 52ND ST RM 245
OAKLAND, CA 94609
Alameda County (510) 428-3331
LAUREN TOWNE
Student in an Organized Health Care Education/Training Program
747 52ND ST RM 245, CHILDREN'S HOSPITAL & RESEARCH CENTER OAKLAND
OAKLAND, CA 94609
Alameda County (650) 428-3331

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 Jacqueline Chen's NPI number?

The NPI number for Jacqueline Chen is 1194251777. It was assigned to this individual provider in the NPPES registry on May 3, 2017.

Where is Jacqueline Chen located?

Jacqueline Chen practices at 747 52nd St Rm 245, Oakland, CA 94609. The listed phone number is (510) 428-3331.

What is Jacqueline Chen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacqueline Chen enrolled in Medicare?

Yes. Jacqueline Chen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacqueline Chen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Chen reassigns Medicare benefits to 4 organizations: Permanente Medical Group Inc (Richmond, CA), University Of California San Francisco (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA) and Ucsf Pediatrics Associates (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Chen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Chen was last updated on December 21, 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.