John Kumar Jain MD, Inc.

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

G077315 Issued in CA

Legal business name

JOHN KUMAR JAIN MD, INC.

Doing business as

Santa Monica Fertility

Practice address

2825 Santa Monica Blvd
Suite 100
Santa Monica, CA 90404

Phone

(310) 566-1470

Fax

(310) 566-1485

NPI assigned

Sep 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Kumar Jain, MDNPI 1720299928

Title

President

Phone

(310) 566-1470

Specialties & licenses 1

Addresses

Other names 1

• Santa Monica Fertility Doing business as

Locations

Practitioners 2

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

• John Jain, M.D.

  • Reproductive Endocrinology Physician
  • Santa Monica, CA
  • NPI 1720299928
  NPD Authorized official
• Caryn E Selick, MD

  • Reproductive Endocrinology Physician
  • Coral Gables, FL
  • NPI 1245346915
  NPD (past)

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

{
    "created_epoch": "1189296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1841485257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 SANTA MONICA BLVD",
            "address_2": "SUITE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-566-1470",
            "fax_number": "310-566-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 SANTA MONICA BLVD",
            "address_2": "SUITE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-566-1470",
            "fax_number": "310-566-1485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2480 E Commercial Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333084025",
            "country_code": "US",
            "telephone_number": "305-800-2229",
            "fax_number": "305-847-3873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Biltmore Way Ph 3A",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331345722",
            "country_code": "US",
            "telephone_number": "866-991-1990",
            "fax_number": "310-566-1470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHN KUMAR JAIN MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-566-1470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "G077315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Monica Fertility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Santa Monica Fertility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Reproductive Endocrinology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Reproductive Endocrinology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.