Encino Place Pain & Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

573912066 Issued in CA

Legal business name

ENCINO PLACE PAIN & SURGERY CENTER LLC

Practice address

16101 Ventura Blvd Ste 240
Encino, CA 91436-2513

Phone

(818) 802-3514

Fax

(818) 582-3594

NPI assigned

Dec 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Shubha Jain, M.D.

Title

President/Manager

Phone

(818) 802-3514

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1063715548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16101 VENTURA BLVD STE 240",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362513",
            "telephone_number": "818-802-3514",
            "fax_number": "818-582-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16101 VENTURA BLVD STE 240",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362513",
            "telephone_number": "818-802-3514",
            "fax_number": "818-582-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCINO PLACE PAIN & SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "SHUBHA",
        "authorized_official_title_or_position": "PRESIDENT/MANAGER",
        "authorized_official_telephone_number": "818-802-3514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "573912066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Encino Neurological Medical Group
• Encino Open MRI Inc
• Encino Optometric Center Corp.
• Encino Orthodontics
• Encino Outpatient Surgery Center, LLC
• Encino Place Pain Management and Surgery Center Inc
• Encino Place Pain Management and Surgery Center, Inc.
• Encino Place Surgery Center
• Encino Plaza Surgical Center (Urological Institute of Southern California)
• Encino Procare Medical Center PC

• Ambulatory Surgical Clinic/Center in Encino, CA
• Providers in Encino, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.