Individual provider Active NPI

Colin Xephary Jairam, MD

  • Family Medicine Physician
  • San Clemente, CA
National Provider Identifier
1821272295
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A101534 Issued in CA
Practice address
1031 Avenida Pico
Suite 103
San Clemente, CA 92673-6352
Phone
(949) 429-1919
NPI assigned
Dec 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A101534 CA
Family Medicine Physician 207Q00000X A101534 CA Primary

Addresses

Primary practice location

1031 Avenida Pico
Suite 103
San Clemente, CA 92673-6352

Mailing address

1031 Avenida Pico
Suite 103
San Clemente, CA 92673-6352
Phone (949) 429-1919

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
I20090209000683 CA Practitioner - Family PracticePractitioner - Emergency Medicine 7810052719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11971 Central Ave
Suite B
Chino, CA 91710-7224
Phone (909) 310-1488

14117 Limonite Ave
Suite 300
Eastvale, CA 92880-3864
Phone (951) 210-7237

31845 Temecula Pkwy
Suite 102
Temecula, CA 92592-2871
Phone (951) 210-7368

3955 Bedford Canyon Rd
Unit 103
Corona, CA 92883-3627
Phone (951) 293-4722

40461 Murrieta Hot Springs Rd
Suite J1
Murrieta, CA 92563-6402
Phone (951) 458-5710

7831 Monticello Ave
Suite 1102
Rancho Cucamonga, CA 91739-8879
Phone (909) 285-2098

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portola Medical Services PC Family Medicine Past Accepting new patients
Carbon Health Medical Group of California PC Past Accepting new patients
Hoag Urgent Care - Huntington Harbour Past Accepting new patients
Carbon Health Primary Care of California PC Family Medicine PastSince Apr 5, 2021 Accepting new patients
Cypress Urgent Care, Inc PastSince Oct 1, 2009 Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1821272295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 AVENIDA PICO",
            "address_2": "SUITE 103",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736352",
            "telephone_number": "949-429-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 AVENIDA PICO",
            "address_2": "SUITE 103",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736352",
            "telephone_number": "949-429-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIRAM",
        "first_name": "COLIN",
        "middle_name": "XEPHARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-20",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A101534",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A101534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

Verify at the official NPI Registry.