Active NPI
Rashmi Jain M D Professional Corporation
- Nephrology Physician
- Burlingame, CA
National Provider Identifier
1487834479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- C42911
- Legal business name
- RASHMI JAIN M D PROFESSIONAL CORPORATION
- Practice address
- 1828 El Camino Real Ste 407
Burlingame, CA 94010-3115 - Phone
- (650) 777-0050
- Fax
- (650) 777-0052
- NPI assigned
- Nov 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rashmi Jain, MD
- Title
- Doctor
- Phone
- (650) 777-0050
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C42911 | CA | |
| Nephrology Physician | 207RN0300X | C42911 | CA | Primary |
Addresses
Primary practice location
1828 El Camino Real Ste 407
Burlingame, CA 94010-3115
Mailing address
1828 El Camino Real Ste 407
Burlingame, CA 94010-3115
Phone (650) 777-0050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C429111 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1511308800000",
"number": "1487834479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1828 EL CAMINO REAL STE 407",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940103115",
"telephone_number": "650-777-0050",
"fax_number": "650-777-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1828 EL CAMINO REAL STE 407",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940103115",
"telephone_number": "650-777-0050",
"fax_number": "650-777-0052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RASHMI JAIN M D PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-07",
"last_updated": "2017-11-22",
"status": "A",
"authorized_official_last_name": "JAIN",
"authorized_official_first_name": "RASHMI",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "650-777-0050",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "C42911",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "C42911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C429111",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; 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.