Jaclyn G Pak DDS Professional Corporation

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

JACLYN G PAK DDS PROFESSIONAL CORPORATION

Practice address

3111 Sunset Blvd Ste X
Rocklin, CA 95677-3090

Phone

(916) 624-0635

NPI assigned

Apr 30, 2025

Organization subpart

No

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

Authorized official

Name

Jaclyn G PakNPI 1427312099

Title

Owner

Phone

(916) 903-4082

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaclyn G Pak, DDS, MS

  • General Practice Dentistry
  • Susanville, CA
  • NPI 1427312099
  NPD Authorized official
• Robert James Meaglia, DDS

  • Dentist
  • Rocklin, CA
  • NPI 1730292814
  NPD (past)

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1518755354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 SUNSET BLVD STE X",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773090",
            "telephone_number": "916-624-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 SUNSET BLVD STE X",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773090",
            "telephone_number": "916-624-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACLYN G PAK DDS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-903-4082"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Helaine Isaacson
• Tricia Masaye Ishimoto, PHARMD
• Natalie A Iten, B.S.
• Brittany Jackson
• Jaclyn G Pak DDS Ms Dental Sleep Medicine Inc (Discover Airway & Sleep)
• Alysia Nicole Jacobs
• Amanda Jacobs
• Jacobsen Dental
• Christopher L Jacobsen, DMD
• Eric Alan Jacques, DPT

• Customized Equipment (DME) in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.