Organization Active NPI

Indu Jain M.D., Inc

  • Specialist
  • Lancaster, CA
National Provider Identifier
1689018293
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A48352 Issued in CA
Legal business name
INDU JAIN M.D., INC
Practice address
1753 W Avenue J
Suite a
Lancaster, CA 93534-9823
Phone
(661) 206-0555
Fax
(661) 729-6864
NPI assigned
Apr 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Ms. Indu Jain, M.D.
Title
President
Phone
(661) 729-6854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A48352 CA Primary

Addresses

Primary practice location

1753 W Avenue J
Suite a
Lancaster, CA 93534-9823

Mailing address

PO Box 2858
Lancaster, CA 93539-2858
Phone (661) 729-6854

Other names 1

  • Indu Jain M.D. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1689018293",
    "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": "1753 W AVENUE J",
            "address_2": "SUITE A",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935349823",
            "telephone_number": "661-206-0555",
            "fax_number": "661-729-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDU JAIN M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "INDU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-729-6854",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A48352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indu Jain M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.