Individual provider Active NPI

Anna Pak, M.D.

  • Pediatrics Physician
  • San Diego, CA
National Provider Identifier
1295830685
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C199367 Issued in CA
Practice address
10243 Genetic Center Dr FL 2
San Diego, CA 92121-6310
Phone
(858) 499-2701
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C199367 CA Primary

Addresses

Primary practice location

10243 Genetic Center Dr FL 2
San Diego, CA 92121-6310

Mailing address

10243 Genetic Center Dr FL 2
San Diego, CA 92121-6310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110811000028 PA Practitioner - Pediatric Medicine 2062441579 Reassigns benefits to 2 organizations
I20250520001805 CA Practitioner - Pediatric Medicine 2062441579 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
City of Philadelphia CurrentSince Jun 1, 2024 Accepting new patients
STC Pediatrics LLC Pediatrics CurrentSince Dec 16, 2019 Accepting new patients
STC Pediatrics LLC Pediatrics CurrentSince Dec 16, 2019 Accepting new patients
City of Philadelphia Current Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Pediatrics CurrentSince May 12, 2025 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince May 12, 2025 Accepting new patients
City of Philadelphia CurrentSince Jun 1, 2024 Accepting new patients
St. Christopher'S Pediatric Urgent Care Center LLC Past Accepting new patients
SCHC Pediatric Associates, LLC Pediatrics Past Accepting new patients
Sharp Rees-Stealy Medical Center Past Accepting new patients
University of Virginia Physicians Group PastSince Nov 1, 2017 Accepting new patients

Locations

5651 Copley Dr
San Diego, CA 92111
Phone (858) 262-6340

10243 Genetic Center Dr
San Diego, CA 92121
Phone (858) 499-2704

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

10243 Genetic Center Dr
Fl 2
San Diego, CA 92121

160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067

300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363

4400 Haverford Ave
#4
Philadelphia, PA 19104
Phone (215) 685-7600

1101 Market St
Fl 10
Philadelphia, PA 19107

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1295830685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10243 GENETIC CENTER DR FL 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921216310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10243 GENETIC CENTER DR FL 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921216310",
            "telephone_number": "858-499-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C199367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.