Suprabha N Jain, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

A67699 Issued in CA

Practice address

140 Mayhew Way Ste 902
Pleasant Hill, CA 94523-4376

Phone

(925) 935-5425

Fax

(925) 947-2671

NPI assigned

Jun 30, 2006

Last updated

Oct 8, 2025By the provider in NPPES

Sex

Female

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

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

Specialty

Geriatric MedicineAlso: Internal Medicine

Education

University of Pittsburgh School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mt Diablo Integrated Wellness Inc

  • Specialist
  • Walnut Creek, CA
  • NPI 1265623110
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• John Muir Health

  dba John Muir Health, Walnut Creek Medical Center

  • General Acute Care Hospital
  • Walnut Creek, CA
  • NPI 1740215219
  Care Compare affiliation

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1841228384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3496 BUSKIRK AVE",
            "address_2": "STE 103",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234368",
            "telephone_number": "925-935-5425",
            "fax_number": "925-947-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MAYHEW WAY STE 902",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234376",
            "telephone_number": "925-935-5425",
            "fax_number": "925-947-2671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 Stoneridge Mall Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945883705",
            "country_code": "US",
            "telephone_number": "925-935-5425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2810 Lone Tree Way Ste 6",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945094956",
            "country_code": "US",
            "telephone_number": "925-935-5425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "SUPRABHA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A67699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sung Hwang
• Carol Y Im, M.D.
• Nancy Lee Iverson, MD
• Catherine Mary Jacobsen, M.S., ATC.
• Mahima Jain, P.A.
• Jam Physical Therapy PC (Phyaical Rehab and Wellness Center)
• Alec Nagoshi James
• Karen Elizabeth James
• Karen Sue Louie Jang, MS, CCC-SLP
• Jason a Smith, MD. Inc

• Geriatric Medicine (Internal Medicine) Physician in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Geriatric Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.