Organization Active NPI

Priyanka Jain MD Inc

  • Ophthalmology Physician
  • Merced, CA
National Provider Identifier
1770214801
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PRIYANKA JAIN MD INC
Doing business as
Merced Cardiology
Merced Eye Care
Practice address
1100 Olivewood Dr
Merced, CA 95348-1210
Phone
(304) 685-7472
Fax
(209) 538-6010
NPI assigned
Jun 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Priyanka JainNPI 1275791881
Title
Owner
Phone
(304) 685-7472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1100 Olivewood Dr
Merced, CA 95348-1210

Mailing address

1100 Olivewood Dr
Merced, CA 95348-1210
Phone (304) 685-7472

Other practice location 1

1114 Olivewood Dr
Merced, CA 95348-1210
Phone (209) 325-4149

Other names 2

  • Merced Cardiology Doing business as
  • Merced Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221103001288 CA Part B Supplier - Clinic/Group Practice 3678940632 Receives reassigned benefits from 2 practitioners
Practice locations: Merced, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1770214801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 OLIVEWOOD DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953481210",
            "telephone_number": "304-685-7472",
            "fax_number": "209-538-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 OLIVEWOOD DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953481210",
            "telephone_number": "304-685-7472",
            "fax_number": "209-538-6010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1114 Olivewood Dr",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953481210",
            "country_code": "US",
            "telephone_number": "209-325-4149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIYANKA JAIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "PRIYANKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-685-7472"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merced Cardiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Merced Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.