Jonathan David Packer, D.O.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

20A21007 Issued in CA

Practice address

5 Medical Plaza Dr Ste 190
Roseville, CA 95661-2867

Phone

(916) 679-3590

NPI assigned

Apr 24, 2017

Last updated

Jul 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Critical Care (Intensivists)Also: Pulmonary Disease

Education

University of New England, College of Osteo Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pulmonary Medicine Associates Medical Group Inc.Group PAC ID 4981506730, 93 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
• Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
• Sutter Auburn Faith Hospital Hospital, Auburn, CA, CCN 050498

Merit-based Incentive Payment System (MIPS)

Final score

90.24 of 100Reported as group

Quality

69.99

Promoting interoperability

100

Improvement activities

30

Cost

76.65

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jonathan.packer.1@1119.direct.athenahealth.com
• Direct secure messaging: jpacker669926@hisp.ehr.sutterhealth.org

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

• Pulmonary Medicine Associates Medical Group, Inc

  • Pulmonary Disease Physician
  • Roseville, CA
  • NPI 1407880719
  Medicare reassignment Care Compare group NPD
• Galen Inpatient Physicians, PC

  • Hospitalist Physician
  • Manteca, CA
  • NPI 1689320459
  Medicare reassignment NPD
• Galen Inpatient Physicians PC

  • Hospitalist Physician
  • Los Angeles, CA
  • NPI 1205787686
  NPD
• Galen Inpatient Physicians PC

  dba Vituity

  • Internal Medicine Physician
  • Tulare, CA
  • NPI 1255812889
  NPD
• Pulmonary Medicine Associates Sleep Lab Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Sacramento, CA
  • NPI 1255359378

  Pulmonary Disease

  NPD
• Sutter Coast Hospital

  • General Acute Care Hospital
  • Crescent City, CA
  • NPI 1457367062
  NPD (past)
• Sutter Tracy Community Hospital

  • General Acute Care Hospital
  • Tracy, CA
  • NPI 1043291164
  NPD (past)
• Sutter Valley Hospitals

  dba Sutter Solano Medical Center

  • General Acute Care Hospital
  • Vallejo, CA
  • NPI 1366686248
  NPD (past)
• Sutter Valley Hospitals

  dba Sutter Davis Hospital

  • General Acute Care Hospital
  • Davis, CA
  • NPI 1770532608
  NPD (past)
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  NPD (past)
• Willits Hospital Inc.

  dba Adventist Health Howard Memorial

  • Critical Access Hospital
  • Willits, CA
  • NPI 1356339543
  NPD (past)
• Sports Medicine Grant, Inc

  dba Sports Medicine Grant & Orthopaedic Associates

  • Orthopaedic Surgery Physician
  • Columbus, OH
  • NPI 1588649842
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sutter Valley Hospitals

  dba Sutter Auburn Faith Hospital

  • General Acute Care Hospital
  • Auburn, CA
  • NPI 1194774299
  Care Compare affiliation
• Sutter Valley Hospitals

  dba Sutter Roseville Medical Center

  • General Acute Care Hospital
  • Roseville, CA
  • NPI 1356390264
  Care Compare affiliation
• Sutter Valley Hospitals

  • Home Health Agency
  • Auburn, CA
  • NPI 1417987751

  Hospital

  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  Care Compare affiliation

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1316472764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ETHAN WAY STE 600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252296",
            "telephone_number": "916-679-3590",
            "fax_number": "916-482-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PLAZA DR STE 190",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612867",
            "telephone_number": "916-679-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKER",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-24",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A21007",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "20A21007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Healthcare Partners LLC
• Pacific Medical Partners PC
• Pacific Medical, Inc. (Pacific Medical Prosthetics & Orthotics)
• Pacific Medical, Inc.
• Jason Packer, P.A.-C, D.C.
• Garry Denaque Pacquiao
• Venessa Padilla
• Jessell Itzela Paez, MSW, ASW
• Liliana Maritza Paez
• April Paganelli, APCC

• Pulmonary Disease Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.