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DR. JACQUELINE JEEYUNG PARK M.D.
NPI 1346415247
Internal Medicine - Gastroenterology in San Pablo, CA

Active since April 23, 2008PECOS EnrolledAccepts Medicare Assignment
2089 VALE RD, SUITE 33, SAN PABLO, CA 94806(510) 234-5012(510) 234-4921 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jacqueline Jeeyung Park M.d. NPPES

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

DR. JACQUELINE JEEYUNG PARK M.D. (NPI 1346415247) is an individual gastroenterology provider in San Pablo, California, licensed in California (A 109036) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2002).

NPPES Registry Identity

NPI1346415247
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JACQUELINE JEEYUNG PARKCredential: M.D.
Location Address2089 VALE RD, SUITE 33San Pablo, CA 94806-3847
Mailing Address2089 Vale Rd, Suite 33San Pablo, CA 94806-3847 · (510) 234-5012 · Fax (510) 234-4921
Phone(510) 234-5012
Fax(510) 234-4921
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2002
Enumeration DateApril 23, 2008
Last NPPES UpdateDecember 15, 2021
✔ NPI 1346415247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in CA · A 109036✔ Licensed in NY · 234855-1
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

2089 VALE RD, San Pablo, CA 94806
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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. Jacqueline Jeeyung Park M.d. 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 ID1052460169
PECOS Enrollment IDI20090915000117
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 94806 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
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 19

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

DR. TERESA MARIE VAN WOY DPM
Podiatrist (Primary Podiatric Medicine)
2089 VALE RD, 12
SAN PABLO, CA 94806
Contra Costa County (510) 232-0892
DR. KHOSROW AFSARI FACP MD
Internal Medicine
2089 VALE RD, #21
SAN PABLO, CA 94806
Contra Costa County (510) 232-9065
WILLIAM ALBERT VAN DYK DDS
Dentist (General Practice)
2089 VALE RD, SUITE 30
SAN PABLO, CA 94806
Contra Costa County (510) 236-1662
ROBERT G. CLARK M.D.
Family Medicine
2089 VALE RD, SUITE 17
SAN PABLO, CA 94806
Contra Costa County (510) 237-2802
MARK SILVERT MD
Specialist
2089 VALE RD, SUITE 25
SAN PABLO, CA 94806
Contra Costa County (510) 235-1137
DR. MAHSA JABERIANSARI DDS
Dentist (General Practice)
2089 VALE RD, SUITE 15 AND 16
SAN PABLO, CA 94806
Contra Costa County (415) 746-9412
RAYNATO OCAMPO CASTRO JR. D.D.S.
Dentist (General Practice)
2089 VALE RD, STE 30
SAN PABLO, CA 94806
Contra Costa County (510) 236-1662
KIRAN FATIMA NARSINH M.D.
Internal Medicine (Gastroenterology)
2089 VALE RD, SUITE 33
SAN PABLO, CA 94806
Contra Costa County (510) 234-5012

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 Park's NPI number?

The NPI number for Jacqueline Park is 1346415247. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Where is Jacqueline Park located?

Jacqueline Park practices at 2089 Vale Rd Suite 33, San Pablo, CA 94806. The listed phone number is (510) 234-5012.

What is Jacqueline Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jacqueline Park enrolled in Medicare?

Yes. Jacqueline Park 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 Jacqueline Park was last updated on December 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.