Encino Place Pain Management and Surgery Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ENCINO PLACE PAIN MANAGEMENT AND SURGERY CENTER INC

Practice address

16101 Ventura Blvd
Suite # 240
Encino, CA 91436-2500

Phone

(818) 357-5529

Fax

(818) 462-9035

NPI assigned

Nov 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Shubha M Jain, M.D.NPI 1013958230

Title

Medical Director/Owner

Phone

(818) 366-0474

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Shubha M Jain, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Northridge, CA
  • NPI 1013958230
  NPD (past) Authorized official
• Sanjiv K Jain, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Encino, CA
  • NPI 1477594067
  NPD

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1104153931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8000",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913278000",
            "telephone_number": "818-802-3514",
            "fax_number": "818-462-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16101 VENTURA BLVD",
            "address_2": "SUITE # 240",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362500",
            "telephone_number": "818-357-5529",
            "fax_number": "818-462-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCINO PLACE PAIN MANAGEMENT AND SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "SHUBHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "818-366-0474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Encino Open MRI Inc
• Encino Optometric Center Corp.
• Encino Orthodontics
• Encino Outpatient Surgery Center, LLC
• Encino Place Pain & Surgery Center LLC
• Encino Place Pain Management and Surgery Center, Inc.
• Encino Place Surgery Center
• Encino Plaza Surgical Center
• Encino Procare Medical Center PC
• Encino Recovery Center, Inc.

• 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 Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.