Vivek Jain

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A69306 Issued in CA

Practice address

15000 Los Gatos Blvd Ste 1
Los Gatos, CA 95032-2017

Phone

(408) 256-3144

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 31, 2023 through May 31, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: vjain33287@hisp.ehr.sutterhealth.org
• Direct secure messaging: vivek.jain@574566786596868.direct.elationemr.com

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1750398020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 LOS GATOS BLVD STE 1",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322017",
            "telephone_number": "408-256-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 LOS GATOS BLVD STE 1",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322017",
            "telephone_number": "408-256-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "VIVEK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-07-16",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A69306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Pietrantonio OD Inc
• Annika Marguerite Jackson, LMFT
• Judy Jackson, MFT
• Kelsey Jacobsen, CCC-SLP
• Paulette Deanne Jacome, PH.D.
• Jeanne Jakob, PH.D.
• James Petros, M.D., Inc.
• James R. Cohen MD Medical Corporation
• Jacqlyn Jameson
• Jane W Chien MD Inc

• Internal Medicine Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.