Shubha M Jain MD Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

SHUBHA M JAIN MD INC

Practice address

16101 Ventura Blvd Ste 240
Encino, CA 91436-2513

Phone

(818) 366-0474

Fax

(818) 360-6319

NPI assigned

Jun 11, 2009

Last updated

Oct 17, 2019By the provider in NPPES

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, MDNPI 1013958230

Title

Ceo

Phone

(818) 366-0474

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shubha M Jain, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Northridge, CA
  • NPI 1013958230
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1336376763",
    "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": "818-366-0474",
            "fax_number": "818-360-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16101 VENTURA BLVD STE 240",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362513",
            "telephone_number": "818-366-0474",
            "fax_number": "818-360-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUBHA M JAIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "SHUBHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-366-0474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Adeyanju Shodipe
• Courtney Shore, IMF
• Shoreline Pharmaceuticals Inc
• Zachary Short
• Yael Shraga, LMFT
• George Reese Shull, DPT
• Peter Rees Shulman, M.D.
• Tiffany Wing Sze Shum, MS, BCBA
• Susan Cook Shumway, M.D.
• Shushanik Gaboian Licensed Clinical Social Worker Inc.

• Anesthesiology Physician in Encino, CA
• Providers in Encino, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.