Sanjeev Jain, M.D.; PHD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MD00040042 Issued in WA

Practice address

1152 Douglas St
Longview, WA 98632-2452

Phone

(360) 940-0880

Fax

(844) 697-8702

NPI assigned

Sep 23, 2005

Last updated

Nov 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, CA, OR3 enrollments

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 3

Specialty

Allergy/Immunology

Education

University of Wisconsin School of Medicine, 1990

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

NW Allergy and Asthma Specialists,LLCGroup PAC ID 5496658254, 3 clinicians

Columbia Medical PLLCGroup PAC ID 0840630109, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jain.sanjeev.015.0470047@columbiaallergy.meditab.direct-ci.com

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.

• Columbia Medical PLLC

  dba Columbia Allergy

  • Allergy & Immunology Physician
  • Longview, WA
  • NPI 1962265900
  Medicare reassignment Care Compare group NPD Authorized official
• Comprehensive Allergy Service Medical Clinic Inc

  dba Columbia Allergy

  • Allergy & Immunology Physician
  • Fremont, CA
  • NPI 1770539041
  Medicare reassignment NPD Authorized official
• NW Allergy & Asthma Specialists,LLC

  dba Asthma Allergy Centre

  • Allergy & Immunology Physician
  • Beaverton, OR
  • NPI 1215928668
  Medicare reassignment Care Compare group NPD
• Columbia Asthma and Allergy Clinic, Inc

  • Allergy & Immunology Physician
  • Sunnyvale, CA
  • NPI 1427408707
  Authorized official Same address or phone
• Allergy & Asthma Center of SW Washington LLC

  dba Columbia Asthma and Allergy Clinic

  • Allergy & Immunology Physician
  • Vancouver, WA
  • NPI 1912048745
  NPD
• PDX Allergy LLC

  • Allergy & Immunology Physician
  • Clackamas, OR
  • NPI 1447874367
  NPD
• Jiva Health Primary Care

  • Family Medicine Physician
  • Concord, CA
  • NPI 1972560381

  Allergy & Immunology

  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1710973839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43575 MISSION BLVD",
            "address_2": "#716",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395831",
            "telephone_number": "360-609-7077",
            "fax_number": "510-744-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 DOUGLAS ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322452",
            "telephone_number": "360-940-0880",
            "fax_number": "844-697-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "SANJEEV",
        "name_prefix": "Dr.",
        "credential": "M.D.; PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "WA",
            "license": "MD00040042",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G88329",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OR",
            "license": "MD162938",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Jabusch, SLPA
• Alicia Jackson, M.A., C.M.H.S.
• Julia Jacobs
• Barry Lewis Jacobson, PH.D.
• Mary G Jacskon
• Miranda Jaksha, SUDP-T
• James L Boylon MD PS
• Rochalle Irene James
• Maureen Jamieson, CRNA
• Mary Lucille Jansma, ARNP

• Allergy & Immunology Physician in Longview, WA
• Providers in Longview, WA by specialty
• Allergy & Immunology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.