NPIMap

Organization Active NPI

Sanjiv Jain & Shubha Jain MD Inc

  • Pain Clinic/Center
  • Northridge, CA
National Provider Identifier
1538514252
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
A47841 Issued in CA
Legal business name
SANJIV JAIN & SHUBHA JAIN MD INC
Practice address
11177 Tampa Ave
Suite # B
Northridge, CA 91326-2254
Phone
(818) 366-0474
Fax
(818) 474-7530
NPI assigned
May 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Dr. Shubha M Jain, M.D
Title
President
Phone
(818) 366-0474

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X A47841 CA Primary
Pain Clinic/Center 261QP3300X A54399 CA

Addresses

Primary practice location

11177 Tampa Ave
Suite # B
Northridge, CA 91326-2254

Mailing address

11177 Tampa Ave
Suite # B
Northridge, CA 91326-2254
Phone (818) 366-0474

Other names 1

  • CENTER FOR PAIN CONTROL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Center for Pain Control2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1538514252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11177 TAMPA AVE",
            "address_2": "SUITE # B",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913262254",
            "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": "11177 TAMPA AVE",
            "address_2": "SUITE # B",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913262254",
            "telephone_number": "818-366-0474",
            "fax_number": "818-474-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJIV JAIN & SHUBHA JAIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "SHUBHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-366-0474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "A47841",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "A54399",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER FOR PAIN CONTROL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.