Active NPI
Bharat Jain, DC
- Chiropractor
- Canoga Park, CA
National Provider Identifier
1063724060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC31705
- Practice address
- 22209 Sherman Way
Canoga Park, CA 91303-1048 - Phone
- (818) 835-9517
- Fax
- (818) 835-9518
- NPI assigned
- Jul 7, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC31705 | CA | Primary |
Addresses
Primary practice location
22209 Sherman Way
Canoga Park, CA 91303-1048
Mailing address
22209 Sherman Way
Canoga Park, CA 91303
Phone (818) 835-9517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1360 E Anaheim St
Suite 101
Long Beach, CA 90813-5514
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC31705 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Wellness Centers USA | Current | Accepting new patients | |
| Procare Medical Group Inc | Chiropractor | Current | Accepting new patients |
| Community Medical Wellness Centers USA | Current | Accepting new patients | |
| Medical Professional Billing Group LLC | Past | Accepting new patients | |
| Mani Sports Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Locations
1360 E Anaheim St
Ste 101
Long Beach, CA 90813
Phone (562) 270-0324
18607 Ventura Blvd
Ste 302
Tarzana, CA 91356
Phone (805) 309-2626
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Long Beach, CA
- NPI 1235500513
-
- Family Medicine Physician
- Simi Valley, CA
- NPI 1174123038
-
- Chiropractor
- Tarzana, CA
- NPI 1487506093
-
- Federally Qualified Health Center (FQHC)
- Long Beach, CA
- NPI 1689449571
-
- Chiropractor
- West Hills, CA
- NPI 1649677279
-
- Nephrology Physician
- West Hills, CA
- NPI 1154669877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1063724060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22209 SHERMAN WAY",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "91303",
"telephone_number": "818-835-9517",
"fax_number": "818-835-9518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22209 SHERMAN WAY",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913031048",
"telephone_number": "818-835-9517",
"fax_number": "818-835-9518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "BHARAT",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-07",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC31705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.