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JACLYN J CHEN M.D.
NPI 1942520630
Urology in Oakland, CA

Active since June 04, 2010PECOS EnrolledAccepts Medicare Assignment
350 30TH ST STE 100, OAKLAND, CA 94609(510) 204-8168(510) 506-7725 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jaclyn J Chen M.d. NPPES

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

JACLYN J CHEN M.D. (NPI 1942520630) is an individual urology provider in Oakland, California, licensed in California (A120533) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of University Of Texas Medical School At Houston (2010).

NPPES Registry Identity

NPI1942520630
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameJACLYN J CHENCredential: M.D.
Location Address350 30TH ST STE 100Oakland, CA 94609
Mailing Address2350 W El Camino Real Fl 2Mountain View, CA 94040-6203 · (510) 204-8168 · Fax (510) 506-7725
Phone(510) 204-8168
Fax(510) 506-7725
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2010
Enumeration DateJune 4, 2010
Last NPPES UpdateJune 3, 2022
NPPES CertifiedJune 3, 2022
✔ NPI 1942520630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · A120533
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
350 30TH ST STE 100, Oakland, CA 94609
Open in Google Maps ↗

Secondary Practice Location 1

Location 12315 Stockton Blvd Rm 6309Sacramento, CA 95817-2201 · Phone (916) 734-2724

Other Identifiers 1

OtherA120533CA · State Medical License

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

Jaclyn J Chen 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 ID7214224674
PECOS Enrollment IDI20190604000321
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 Reassignment

Medicare enrollment records show Jaclyn Chen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
9.7 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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94609 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
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 8

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

DR. ANDREW W TAM MD
Urology
350 30TH ST STE 100
OAKLAND, CA 94609
Alameda County (510) 204-8168
JONATHAN SHING-JIH LEE
Internal Medicine
350 30TH ST STE 100
OAKLAND, CA 94609
Alameda County (510) 204-8290
WILLIAM R DE WOLF M.D.
Internal Medicine
350 30TH ST STE 100
OAKLAND, CA 94609
Alameda County (510) 204-8290
BROOKE ELCONIN PA-C
Orthopaedic Surgery
350 30TH ST STE 100
OAKLAND, CA 94609
Alameda County (510) 204-1844
SURESH KEVIN NAYAR MD
Orthopaedic Surgery (Hand Surgery)
350 30TH ST STE 100
OAKLAND, CA 94609
Alameda County (510) 204-1844
CASEY S REVENKO PHYSICIAN ASSISTANT
Physician Assistant
350 30TH ST STE 100
OAKLAND, CA 94609
Alameda County (510) 204-1844
DR. LAURA WEDDERBURN M.D.
Internal Medicine
350 30TH ST STE 100
OAKLAND, CA 94609
Alameda County (510) 204-8290
PRATIK DIPAK PATEL DO
Family Medicine
350 30TH ST STE 100
OAKLAND, CA 94609
Alameda County (510) 204-8290

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 Jaclyn Chen's NPI number?

The NPI number for Jaclyn Chen is 1942520630. It was assigned to this individual provider in the NPPES registry on June 4, 2010.

Where is Jaclyn Chen located?

Jaclyn Chen practices at 350 30th St Ste 100, Oakland, CA 94609. The listed phone number is (510) 204-8168.

What is Jaclyn Chen's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jaclyn Chen enrolled in Medicare?

Yes. Jaclyn Chen 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 organization bills Medicare for Jaclyn Chen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Chen reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The 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 Jaclyn 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 Jaclyn Chen was last updated on June 3, 2022. 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.