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JEAN PAEK
NPI 1992230965
Pediatrics in Upland, CA

Active since April 26, 2017
811 E 11TH ST STE 201, UPLAND, CA 91786(909) 985-0883 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2023, Jan 18, 2023, Apr 26, 2017 (3 updates tracked since 2017).

About Jean Paek NPPES

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

JEAN PAEK (NPI 1992230965) is an individual pediatrics provider in Upland, California, licensed in California (PA62963) and active in the NPI registry since April 2017. She maintains a secondary practice location in Fontana.

NPPES Registry Identity

NPI1992230965
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJEAN PAEK
Location Address811 E 11TH ST STE 201Upland, CA 91786-4872
Mailing Address811 E 11th St Ste 201Upland, CA 91786-4872 · (909) 985-0883
Phone(909) 985-0883
Sole ProprietorNo
Enumeration DateApril 26, 2017
Last NPPES UpdateSeptember 8, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
✔ NPI 1992230965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · PA62963
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
811 E 11TH ST STE 201, Upland, CA 91786
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Secondary Practice Location 1

Location 116465 Sierra Lakes Pkwy Ste 115Fontana, CA 92336-1242 · Phone (909) 823-8000

Other Providers at the Same Location NPPES

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

ALLISON LEIGH BELL FNP-C
Nurse Practitioner (Family)
811 E 11TH ST STE 201
UPLAND, CA 91786
San Bernardino County (909) 985-0883

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 Jean Paek's NPI number?

The NPI number for Jean Paek is 1992230965. It was assigned to this individual provider in the NPPES registry on April 26, 2017.

Where is Jean Paek located?

Jean Paek practices at 811 E 11th St Ste 201, Upland, CA 91786. The listed phone number is (909) 985-0883.

What is Jean Paek's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Jean Paek was last updated on September 8, 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.