Individual provider Active NPI

Kavita Jain, MD

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1295266757
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A175247 Issued in CA
Practice address
1701 E Cesar E Chavez Ave Ste 200
Los Angeles, CA 90033-2497
Phone
(323) 225-4300
NPI assigned
Mar 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 009126 GA
Student in an Organized Health Care Education/Training Program 390200000X GA
Obstetrics & Gynecology Physician 207V00000X A175247 CA Primary

Addresses

Primary practice location

1701 E Cesar E Chavez Ave Ste 200
Los Angeles, CA 90033-2497

Mailing address

1701 E Cesar E Chavez Ave Ste 200
Los Angeles, CA 90033-2497
Phone (323) 225-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A175247CAMDObstetrics & Gynecology Physician
009126GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Memorial Gynecological and Obstetrical Medical Group Obstetrics & Gynecology CurrentSince Nov 15, 2022 Accepting new patients
White Memorial Medical Center PastSince Aug 14, 2022 Accepting new patients

Locations

1701 E Cesar E Chavez Ave
Ste 200225
Los Angeles, CA 90033
Phone (323) 225-4300

1701 E Cesar E Chavez Ave
Ste 200
Los Angeles, CA 90033
Phone (323) 225-4300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1295266757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E CESAR E CHAVEZ AVE STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332497",
            "telephone_number": "323-225-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E CESAR E CHAVEZ AVE STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332497",
            "telephone_number": "323-225-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "KAVITA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "009126",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A175247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.