Shubha M Jain, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

A54399 Issued in CA

Practice address

11177 Tampa Ave
Suite B
Northridge, CA 91226-2254

Phone

(818) 366-0474

Fax

(818) 474-7530

NPI assigned

Jun 9, 2006

Sex

Female

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

AnesthesiologyAlso: General Practice, Interventional Pain Management

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Shubha M Jain MD Inc

  • Anesthesiology Physician
  • Encino, CA
  • NPI 1336376763
  Medicare reassignment Authorized official
• Encino Place Pain Management and Surgery Center Inc

  • Ambulatory Surgical Clinic/Center
  • Encino, CA
  • NPI 1104153931
  NPD (past) Authorized official
• Shubha Mehta Jain a Medical Corporation

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1083842595
  NPD (past) Authorized official
• Pain Management and Aesthetic Surgery Center in Beverly Hills

  • Ambulatory Surgical Clinic/Center
  • Simi Valley, CA
  • NPI 1215594379
  NPD
• Clinicas del Camino Real Inc

  • Community Health Clinic/Center
  • Oxnard, CA
  • NPI 1235866138
  NPD (past)
• Clinicas del Camino Real Inc

  • Federally Qualified Health Center (FQHC)
  • Ventura, CA
  • NPI 1679631907
  NPD (past)
• Downey Radiology Associates

  • Diagnostic Radiology Physician
  • Downey, CA
  • NPI 1528012945
  NPD (past)
• Grand Anesthesia and Nursing Services Inc

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1750894796
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1013958230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 8000",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913278000",
            "telephone_number": "818-366-0474",
            "fax_number": "818-474-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11177 TAMPA AVE",
            "address_2": "SUITE B",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "912262254",
            "telephone_number": "818-366-0474",
            "fax_number": "818-474-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "SHUBHA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A54399",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A54399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teri Jacoby
• Samantha Michele Jacquin, LCSW
• Morris Jagodowicz
• Jahandar Reza Saleh MD Inc
• Chandni Jain
• Niraj N Jaju, OT
• Haya Jamelellail
• Janetsnewborndoula
• Susan Jenny Jarakian, DDS
• Ingrid Jaramillo

• Pain Medicine (Anesthesiology) Physician in Northridge, CA
• Providers in Northridge, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.