Individual provider Active NPI

Shonul Agarwal Jain, M.D.

  • Pediatrics Physician
  • San Francisco, CA
National Provider Identifier
1689701450
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A94229 Issued in CA
Practice address
1001 Potrero Ave, BLDG. 5, #6M
San Francisco, CA 94110-3518
Phone
(628) 206-8361
Fax
(628) 206-3686
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A94229 CA Primary

Addresses

Primary practice location

1001 Potrero Ave, BLDG. 5, #6M
San Francisco, CA 94110-3518

Mailing address

1001 Potrero Ave, BLDG. 5
Mailstop 6E
San Francisco, CA 94110-3518
Phone (628) 206-8361

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070606000700 CA Practitioner - Pediatric Medicine 7315045895 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A94229CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Pediatrics Current Accepting new patients
City & County of San Francisco Current Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Jun 21, 2008 Accepting new patients
University of California SFGH Medical Group CurrentSince Jun 20, 2009 Accepting new patients
City and County of San Francisco CurrentSince Nov 12, 2019 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 21, 2008 Accepting new patients
University of California San Francisco Pediatrics CurrentSince Jun 21, 2008 Accepting new patients
City & County of San Francisco CurrentSince Nov 12, 2019 Accepting new patients
University of California San Francisco CurrentSince Jun 21, 2008 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 21, 2008 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California SFGH Medical Group CurrentSince Jun 20, 2009 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1001 Potrero Ave
#6E
San Francisco, CA 94110
Phone (415) 206-8516

400 Parnassus Ave
Fl 2
San Francisco, CA 94143
Phone (415) 353-2008

1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1001 Potrero Ave
#6E3
San Francisco, CA 94110

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1689701450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE, BLDG. 5",
            "address_2": "MAILSTOP 6E",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "628-206-8361",
            "fax_number": "628-206-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE, BLDG. 5, #6M",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "628-206-8361",
            "fax_number": "628-206-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "SHONUL",
        "middle_name": "AGARWAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A94229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.