Active NPI
Anjali Jain, M.D.
- Pediatric Endocrinology Physician
- San Jose, CA
National Provider Identifier
1174707392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- A104832
- Practice address
- 2690 S White Rd Ste 50
San Jose, CA 95148-2075 - Phone
- (408) 223-7000
- Fax
- (408) 223-7001
- NPI assigned
- Dec 24, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | A104832 | CA | Primary |
Addresses
Primary practice location
2690 S White Rd Ste 50
San Jose, CA 95148-2075
Mailing address
2690 S White Rd Ste 50
San Jose, CA 95148-2075
Phone (408) 223-7000
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPCH Medical Group Div of Lucile | Current | Accepting new patients |
Locations
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
4000 Civic Center Dr
Ste 205
San Rafael, CA 94903
Phone (415) 479-7244
Organizations & group practices 1
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.
-
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407888000000",
"number": "1174707392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2690 S WHITE RD STE 50",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951482075",
"telephone_number": "408-223-7000",
"fax_number": "408-223-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2690 S WHITE RD STE 50",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951482075",
"telephone_number": "408-223-7000",
"fax_number": "408-223-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "ANJALI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-24",
"last_updated": "2014-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "CA",
"license": "A104832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.