Organization Active NPI

Uday Jain M D Professional Corporation

  • Anesthesiology Physician
  • Santa Clara, CA
National Provider Identifier
1558071696
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
UDAY JAIN M D PROFESSIONAL CORPORATION
Practice address
2222 Lafayette St
Santa Clara, CA 95050-2904
Phone
(408) 988-0105
NPI assigned
Nov 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Dr. Uday Jain, MDNPI 1487694931
Title
President
Phone
(650) 430-0017

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
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

2222 Lafayette St
Santa Clara, CA 95050-2904

Mailing address

505 Chateau Dr
Hillsborough, CA 94010-6501
Phone (650) 430-0017

Other names 1

  • UDAY JAIN, M.D., PROFESSIONAL CORPORATION Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230216002426 CA Part B Supplier - Clinic/Group Practice 6709258999 Receives reassigned benefits from 3 practitioners
Practice locations: Santa Clara, CA

National Provider Directory

National Provider Directory
Tax ID family
Uday Jain M D Professional Corporation2 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.

Practitioners & affiliated clinicians

Practitioners 4

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": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1558071696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 CHATEAU DR",
            "city": "HILLSBOROUGH",
            "state": "CA",
            "postal_code": "940106501",
            "telephone_number": "650-430-0017",
            "fax_number": "650-348-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 LAFAYETTE ST",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950502904",
            "telephone_number": "408-988-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UDAY JAIN M D PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "UDAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-430-0017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UDAY JAIN, M.D., PROFESSIONAL CORPORATION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UDAY JAIN, M.D., PROFESSIONAL CORPORATION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UDAY JAIN, M.D., PROFESSIONAL CORPORATION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.