Active NPI
Sanjiv K Jain, M.D.
- Pain Medicine (Anesthesiology) Physician
- Encino, CA
National Provider Identifier
1477594067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- A47841
- Practice address
- 16101 Ventura Blvd
Ste 240
Encino, CA 91436-2513 - Phone
- (818) 366-0474
- Fax
- (818) 360-6319
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A47841 | CA | |
| Internal Medicine Physician | 207R00000X | A47841 | CA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A47841 | CA | Primary |
Addresses
Primary practice location
16101 Ventura Blvd
Ste 240
Encino, CA 91436-2513
Mailing address
P.O. Box 8000
Northridge, CA 91327-8000
Phone (818) 366-0474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A47841 | CA | MD | Internal Medicine Physician |
| ME0066806 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encino Place Pain Management and Surgery Center, Inc. | Current | Accepting new patients | |
| Encino Place Pain Management and Surgery Center Inc | Current | Accepting new patients | |
| LMR Imaging | Past | Accepting new patients |
Locations
16101 Ventura Blvd
Ste 240
Encino, CA 91436
Phone (818) 366-0474
Organizations & group practices 3
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.
-
- Ambulatory Surgical Clinic/Center
- Encino, CA
- NPI 1104153931
-
- Ambulatory Surgical Clinic/Center
- Encino, CA
- NPI 1861722522
-
- Diagnostic Radiology Physician
- Fort Myers, FL
- NPI 1649263724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568764800000",
"number": "1477594067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 8000",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913278000",
"telephone_number": "818-366-0474",
"fax_number": "818-474-7530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16101 VENTURA BLVD",
"address_2": "STE 240",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362513",
"telephone_number": "818-366-0474",
"fax_number": "818-360-6319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "SANJIV",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2019-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A47841",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A47841",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A47841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.