Individual provider Active NPI

Saurabh Jain, M.D.,M.R.C.S.

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1528011970
Registry record updated Apr 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A96287 Issued in CA
Practice address
1200 N State Street #1108
Los Angeles County University of Southern California
Los Angeles, CA 90033
Phone
(323) 226-6225
Fax
(818) 351-8126
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A96287 CA Primary

Addresses

Primary practice location

1200 N State Street #1108
Los Angeles County University of Southern California
Los Angeles, CA 90033

Mailing address

350 S San Fernando Blvd Apt 321
Burbank, CA 91502-1371

Other identifiers 1

IdentifierTypeStateIssuer
00A962870MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061020000385 CA Practitioner - General SurgeryPractitioner - Thoracic Surgery 8022014711 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A96287CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Van Nuys Health Center, Inc. Past Accepting new patients
The Regents of the University of California PastSince Nov 12, 2011 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270166400000",
    "number": "1528011970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S SAN FERNANDO BLVD APT 321",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE STREET #1108",
            "address_2": "LOS ANGELES COUNTY UNIVERSITY OF SOUTHERN CALIFORNIA",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-226-6225",
            "fax_number": "818-351-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "SAURABH",
        "credential": "M.D.,M.R.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A96287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A962870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.