Shveta Jain, M.D.
Individual provider Active NPI Pain Medicine (Anesthesiology) Physician · Fullerton, CA
NPI 1598024226 · NPPES record last updated Dec 27, 2024
Key facts
- NPI
- 1598024226
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- A126443 (CA)
- Practice address
- 100 N State College Blvd Ste H
Fullerton, CA 92831-4236 - Phone
- (323) 783-4892
- Fax
- (323) 783-1187
- NPI assigned
- May 15, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 75.51
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170322002541 | CA | Practitioner - Anesthesiology | 6608169669 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A126443 | CA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Anesthesia Specialists of Orange County, Inc. | Anesthesiology | Current |
Accepting new patients |
| Centers of Rehabilitation & Pain Medicine Inc | Current |
Accepting new patients | |
| Algos Inc., a Medical Corporation | Pain Medicine | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Centers of Rehabilitation & Pain Medicine Inc | Current |
Accepting new patients | |
| Algos Inc., a Medical Corporation | Current |
Accepting new patients | |
| Algos Inc., a Medical Corporation | Current |
Accepting new patients | |
| Corona Anesthesia Group, Inc. | Anesthesiology | Current |
Accepting new patients |
| Orange Coast Anesthesia Inc | Anesthesiology | Current |
Accepting new patients |
| Primecare Medical Group | Past | Accepting new patients | |
| Gary Chinghuei Kao MD Inc | Anesthesiology | Past | Accepting new patients |
| Mani Sports Chiropractic Inc | Past |
Accepting new patients |
Locations
1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450
891 Kuhn Dr
Ste 106
Chula Vista, CA 91914
Phone (619) 761-5308
800 S Main St
Corona, CA 92882
Phone (909) 625-5411
802 Magnolia Ave
Ste 206
Corona, CA 92879
Phone (909) 493-3890
9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910
11100 Warner Ave
Ste 310
Fountain Vly, CA 92708
Phone (714) 824-6560
100 N State College Blvd
Ste H
Fullerton, CA 92831
Phone (714) 824-6565
1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900
24401 Muirlands Blvd
Ste A
Lake Forest, CA 92630
Phone (714) 597-7214
3700 South St
Lakewood, CA 90712
Phone (562) 424-2900
1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200
1041 E Yorba Linda Blvd
Ste 210
Placentia, CA 92870
Phone (714) 233-7000
10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000
1125 E 17th St
Ste N452
Santa Ana, CA 92701
Phone (714) 597-7214
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A126443 | CA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A126443 | CA | Yes |
Addresses
Primary practice location
100 N State College Blvd Ste H
Fullerton, CA 92831-4236
Mailing address
100 N State College Blvd Ste H
Fullerton, CA 92831-4236
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Other providers in Fullerton, CA
- Alondra Abigail Jaime
- Paula Jaime
- Angela Jaimes
- Michelle Diana Jaimes
- Muskan Jain
- James Chou DDS Dental Group of Fullerton Inc
- James N Berbos Dba Fullerton Eye Center Optical
- James Park DDS, Inc.
- Kristen James
- Maggie Jan
All providers in Fullerton, CA · Pain Medicine (Anesthesiology) Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.