Organization Active NPI

Bhawna Jain MD Inc

  • Internal Medicine Physician
  • San Leandro, CA
National Provider Identifier
1497989008
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A68306 Issued in CA
Legal business name
BHAWNA JAIN MD INC
Practice address
2800 Benedict Dr
San Leandro, CA 94577-6840
Phone
(510) 357-8300
NPI assigned
May 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Bhawna Jain, M.D.NPI 1912029190
Title
Owner
Phone
(510) 579-7027

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A68306 CA Primary

Addresses

Primary practice location

2800 Benedict Dr
San Leandro, CA 94577-6840

Mailing address

29869 Bello View PL
Hayward, CA 94544-6810
Phone (510) 579-7027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090715000392 CA Part B Supplier - Clinic/Group Practice 3375695729 Receives reassigned benefits from 1 practitioner
Practice locations: San Leandro, CA

National Provider Directory

National Provider Directory

Locations

30166 Industrial Pkwy SW
Ste 272
Hayward, CA 94544

30166 Industrial Pkwy SW
#272
Hayward, CA 94544

Practitioners & 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": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1497989008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29869 BELLO VIEW PL",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945446810",
            "telephone_number": "510-579-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BENEDICT DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776840",
            "telephone_number": "510-357-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHAWNA JAIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "BHAWNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-579-7027",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A68306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.