Organization Active NPI

Shubha Mehta Jain a Medical Corporation

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1083842595
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A54399 Issued in CA
Legal business name
SHUBHA MEHTA JAIN A MEDICAL CORPORATION
Practice address
1377 West Sunset Blvd
Los Angeles, CA 90026-4449
Phone
(213) 426-8333
NPI assigned
Jun 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Authorized official

Name
Dr. Shubha Mehta Jain, MDNPI 1013958230
Title
Ceo/President
Phone
(213) 426-8333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X A54399 CA Primary

Addresses

Primary practice location

1377 West Sunset Blvd
Los Angeles, CA 90026-4449

Mailing address

1377 West Sunset Blvd
Los Angeles, CA 90026-4449
Phone (213) 426-8333

National Provider Directory

National Provider Directory

Locations

1377 W Sunset Blvd
Los Angeles, CA 90026
Phone (213) 250-7995

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1083842595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 WEST SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264449",
            "telephone_number": "213-426-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 WEST SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264449",
            "telephone_number": "213-426-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUBHA MEHTA JAIN A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "SHUBHA",
        "authorized_official_middle_name": "MEHTA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "213-426-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A54399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.