Nickul S. Jain MD, a Professional Corporation

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

NICKUL S. JAIN MD, A PROFESSIONAL CORPORATION

Practice address

3501 Jamboree Rd Ste 1250
Newport Beach, CA 92660-2959

Phone

(949) 988-7800

NPI assigned

Apr 25, 2022

Organization subpart

No

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

Authorized official

Name

Nickul S Jain, MDNPI 1275897407

Title

Owner

Phone

(949) 689-0845

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Nickul Saral Jain, MD

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
  • NPI 1275897407
  Medicare reassignment NPD Authorized official
• Duke William Clifford Hasson, M.D

  • Orthopaedic Surgery Physician
  • Orange, CA
  • NPI 1831489939
  NPD
• Amy Wall Shore, M.D.

  • Anesthesiology Physician
  • Marina del Rey, CA
  • NPI 1235305566
  NPD
• Joseph J Barrows, M.D.

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1154354918
  NPD

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1194469346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 JAMBOREE RD STE 1250",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602959",
            "telephone_number": "949-988-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 JAMBOREE RD STE 1250",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602959",
            "telephone_number": "949-988-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKUL S. JAIN MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "NICKUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-689-0845",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Wayne Niccole, M.D.
• Nicholas C. Davis, D.D.S., Apc
• Nicholas E. Rose, MD, Inc.
• Chelsie Nicholson
• Kathleen Anne Nickerson, PHD
• Odile Nicolette, LMFT
• Gregg Nielson, RVT
• Cecilia Nieto
• Nisa Nikbakht
• Kaveh Niknia, DDS

• Orthopaedic Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.