A graduate of the University of Iowa College of Medicine, Dr. James A. Packer, MD sees patients in San Carlos, San Diego from a private practice at 6452 Lake Tahoe Cir, 92119, between Lake Murray Boulevard and Navajo Road. Packer completed a transitional-year internship at the University of South Dakota and brings emergency medicine training to a primary-care setting, with musculoskeletal cases requiring structured rehabilitation routed into the sport-specific return-to-play program at PhysioFixx Physical Therapy in San Carlos. The Lake Tahoe Circle address puts the office within a mile of the Cowles Mountain trailhead, drawing post-hike and weekend patients from San Carlos and the Del Cerro hillside neighborhoods who need same-visit assessment for sprains, lacerations, or exercise-related complaints. Packer holds NPI 1508027293 and accepts Medicare, processing claims for the 92119 ZIP that covers San Carlos proper and the eastern boundary of Del Cerro. Patients requiring vision screening or corrective lens prescriptions following head-injury evaluation are referred to Lake Murray Optometric Center on Lake Murray Boulevard for comprehensive optometric workups. The practice operates from a single-physician office with wheelchair-accessible entry and on-site parking.