Active NPI
Jordan Lewis Shlain, MD
- Internal Medicine Physician
- San Francisco, CA
National Provider Identifier
1790859270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A60022
- Practice address
- 3580 California St.
#101
San Francisco, CA 94118 - Phone
- (415) 830-3090
- Fax
- (415) 520-5191
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A60022 | CA | Primary |
Addresses
Primary practice location
3580 California St.
#101
San Francisco, CA 94118
Mailing address
3580 California St.
#101
San Francisco, CA 94118
Phone (415) 830-3090
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective Oct 20, 2016 through Oct 20, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60022 | CA | MD | Pharmacist |
| A60022 | CA | MD | Internal Medicine Physician |
Interoperability endpoints
- jordan.shlain@412963523788804.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306454400000",
"number": "1790859270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3580 CALIFORNIA ST.",
"address_2": "#101",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94118",
"telephone_number": "415-830-3090",
"fax_number": "415-520-5191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 CALIFORNIA ST.",
"address_2": "#101",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94118",
"telephone_number": "415-830-3090",
"fax_number": "415-520-5191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHLAIN",
"first_name": "JORDAN",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2011-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A60022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.