Jayini S Thakker, MD, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

A124009 Issued in CA

Practice address

11092 Anderson St RM 3306
Loma Linda, CA 92350-1801

Phone

(909) 558-4671

NPI assigned

Jun 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Maxillofacial SurgeryAlso: Oral Surgery

Education

University of Florida College of Dentistry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Makan Dental CorporationGroup PAC ID 6709256456, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jthakker63695@direct.llu.edu

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.

• Makan Dental Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Bakersfield, CA
  • NPI 1790433001
  Medicare reassignment Care Compare group NPD
• Cal Med Physicians and Surgeons, Inc.

  • Surgery Physician
  • Colton, CA
  • NPI 1316054737

  Oral & Maxillofacial Surgery

  Medicare reassignment NPD
• Loma Linda University

  • Dental Clinic/Center
  • Loma Linda, CA
  • NPI 1639270846
  Medicare reassignment NPD
• Makan Tarzana Dental Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Tarzana, CA
  • NPI 1700536810
  Medicare reassignment NPD
• Grads Inc.

  • Community/Retail Pharmacy
  • San Bernardino, CA
  • NPI 1720443526
  NPD
• Loma Linda University

  • Medical Specialty Clinic/Center
  • Loma Linda, CA
  • NPI 1003923061
  NPD
• Dignity Health

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1689769911
  NPD (past)
• Loma Linda University Children'S Hospital

  • Children's Hospital
  • Loma Linda, CA
  • NPI 1366866345
  NPD (past)
• Loma Linda University Medical Center

  • General Acute Care Hospital
  • Loma Linda, CA
  • NPI 1194731935
  NPD (past)
• Pomona Valley Hospital Medical Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1518067586
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1386847648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11092 ANDERSON ST RM 3306",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923501706",
            "telephone_number": "909-558-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11092 ANDERSON ST RM 3306",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923501801",
            "telephone_number": "909-558-4671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Pepper Ave Ste 308",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923241801",
            "country_code": "US",
            "telephone_number": "909-580-3353",
            "fax_number": "909-580-1363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAKKER",
        "first_name": "JAYINI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD, DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "DDS59583",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "A124009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Louise Tetz, M.D.
• Tommy Thai, PHARMD
• Vincent Thai, PHARMD
• Ronak Digant Thaker
• Amitkumar Narharibhai Thakkar, MS, PHARMD
• Darsh Thakrar, M.D.
• Soosan Pattamkadavil Thankachan
• Sana K. Thara, M.D.
• Akshitha Thatiparthi
• Patrechi Thayer, 95003354

• Oral & Maxillofacial Surgery (D.M.D.) in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.