DR. JIN PACKARD MD
NPI 1407273691
Internal Medicine in Oakland, CA
About Dr. Jin Packard Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JIN PACKARD MD (NPI 1407273691) is an individual internal medicine provider in Oakland, California, licensed in California (143149) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of New York Medical College (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jin Packard 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jin Packard reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Walnut Creek, CA 94598
- Reassigned Medicare billing, California enrollment
- 810 clinicians in this Medicare group
Walnut Creek, CA 94597
- Reassigned Medicare billing, California enrollment
- 650 clinicians in this Medicare group
San Bernardino, CA 92404
- Reassigned Medicare billing, California enrollment
- 1,216 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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.
OAKLAND, CA 94602
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 Jin Packard's NPI number?
The NPI number for Jin Packard is 1407273691. It was assigned to this individual provider in the NPPES registry on March 25, 2014.
Where is Jin Packard located?
Jin Packard practices at 1411 E 31st St, Oakland, CA 94602. The listed phone number is (510) 535-7618.
What is Jin Packard's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jin Packard enrolled in Medicare?
Yes. Jin Packard 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.
Which organizations bill Medicare for Jin Packard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jin Packard reassigns Medicare benefits to 3 organizations: John Muir Trauma Physicians Billing Service (Walnut Creek, CA), John Muir Physician Network (Walnut Creek, CA) and Inpatient Specialists Of California, PC (San Bernardino, 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 Jin Packard'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 Jin Packard was last updated on July 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Jin Packard, MD · NPI 1407273691
Internal Medicine physician in Oakland, California. Individual provider, active in the CMS NPPES registry since March 25, 2014.
## Identity
- **NPI:** 1407273691 (Entity type: Individual)
- **Enumerated:** March 25, 2014
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 143149 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1411 E 31ST ST, Oakland, CA 94602-1018
- **Phone:** (510) 535-7618 · **Fax:** (510) 535-4251
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): John Muir Trauma Physicians Billing Service (NPI 1093864837, Walnut Creek, CA); John Muir Physician Network (NPI 1841407665, Walnut Creek, CA); Inpatient Specialists Of California, PC (NPI 1952792475, San Bernardino, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York Medical College, class of 2014
## Record status
- **NPPES last updated:** July 15, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1407273691) · Data from the CMS NPPES public registry.