Indu Jain, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A48352 Issued in CA

Practice address

1672 W Avenue J
Suite 209
Lancaster, CA 93534-2827

Phone

(661) 729-6854

Fax

(661) 729-6864

NPI assigned

Dec 28, 2005

Last updated

Nov 1, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• First Choice Physician Partners

  dba Greater Modesto Medical Surgical Associates

  • Neurological Surgery Physician
  • Modesto, CA
  • NPI 1104183052
  Medicare reassignment NPD
• Indu Jain M.D., Inc

  dba Indu Jain M.D.

  • Specialist
  • Lancaster, CA
  • NPI 1689018293
  Authorized official Same address or phone
• First Choice Physician Partners

  • Family Medicine Physician
  • Brea, CA
  • NPI 1417297847
  NPD
• First Choice Physician Partners

  dba De La Pena Eye Clinic, A Medical Group

  • Ophthalmology Physician
  • El Monte, CA
  • NPI 1912732892
  NPD
• William Beaumont Hospital

  dba Beaumont Hospital, Royal Oak

  • Rehabilitation Hospital Unit
  • Royal Oak, MI
  • NPI 1215916812
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1639156979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2858",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935392858",
            "telephone_number": "661-729-6854",
            "fax_number": "661-729-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 W AVENUE J",
            "address_2": "SUITE 209",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342827",
            "telephone_number": "661-729-6854",
            "fax_number": "661-729-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "INDU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A48352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A483520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Lynn Jackson
• Lauren Jane Jacobs, BCBA
• Jae Y Hong M D a Professional Corporation
• Ali E Jafferi, M.D.
• Ana Karen Jaimes Aragon
• James a. Sweeney, D.D.S., Inc. (Clean Smile Dental)
• Aquilah James, LCSW
• Jared James
• Alia Jamison-Dinowitz, FNP-C
• Jaleesa Jamison, APCC

• Anesthesiology Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.