Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacqueline Jeeyung Park, MD

Individual provider Gastroenterology Physician · NPI 1346415247

Dr. Jacqueline Jeeyung Park, MD is a Gastroenterology in San Pablo, California. Graduated from Yale University School of Medicine in 2002, 24 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
24
Trained at
Yale University School of Medicine
Licensed in
CA, NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2089 Vale Rd Ste 33
San Pablo, CA 94806-3847
Phone: (510) 234-5012
Fax: (510) 234-4921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence A 109036 (CA)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 234855-1 (NY)

Record details

NPI number1346415247
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 23, 2008
Last updated in NPPESDecember 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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