Manjula Jain, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A53512 Issued in CA

Practice address

500 E. Olive Avenue, Suite 740
Burbank, CA 91501

Phone

(818) 391-1038

Fax

(818) 955-5136

NPI assigned

Feb 6, 2006

Last updated

Sep 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Internal Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Manjula Jain MD, Inc.

  • Specialist
  • Burbank, CA
  • NPI 1841223880
  Medicare reassignment NPD Authorized official
• Providence Health System - Southern California

  dba Providence Saint Joseph Medical Center

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health System - Southern California

  dba Providence Saint Joseph Medical Center

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  Care Compare affiliation

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1437121233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E. OLIVE AVENUE, SUITE 740",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91501",
            "telephone_number": "818-391-1038",
            "fax_number": "818-955-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E. OLIVE AVENUE, SUITE 740",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91501",
            "telephone_number": "818-391-1038",
            "fax_number": "818-955-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "MANJULA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Lawrence Jacobs, M.D.
• Jacqueline a. Kuraishi, D.D.S.,Inc.
• Jade Health Ventures, Inc (Fountain Home Health Care)
• Jae Bum Lee DDS Inc (Air Dental Burbank)
• Edward J Jahnke III, M.D.
• Ravin Jain, M.D.
• Jaklin Yasaman Licensed Marriage and Family Therapy Corporation
• Peter B Jalbuena, M.D.
• Janji Chiropractic Corporation (Birthright Chiropractic)
• Nicole M Januik, NP

• Internal Medicine Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.