Individual provider Active NPI

Rina Jain, M.D.

  • Orthopaedic Surgery Physician
  • San Diego, CA
National Provider Identifier
1861495756
Registry record updated Jul 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A82128 Issued in CA
Practice address
3750 Convoy St
Suite 201
San Diego, CA 92111-3738
Phone
(858) 278-8300
Fax
(858) 278-1708
NPI assigned
May 24, 2005
Last updated
Jul 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A82128 CA Primary

Addresses

Primary practice location

3750 Convoy St
Suite 201
San Diego, CA 92111-3738

Mailing address

3750 Convoy St
Suite 201
San Diego, CA 92111-3738
Phone (858) 278-8300

Other identifiers 2

IdentifierTypeStateIssuer
00A812380MedicaidCA
WA81238AOtherCAMEDICARE ID

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
I20100202000085 CA Practitioner - Orthopedic Surgery 7810986890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3750 Convoy St
Suite 201
San Diego, CA 92111-3770
Phone (858) 278-8300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A82128CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Sports Medicine & Orthopaedic Center Orthopaedic Surgery Current Accepting new patients
Synergy Orthopedic Specialists, Inc. CurrentSince Sep 16, 2018 Accepting new patients
Synergy Orthopedic Specialists, Inc. Orthopaedic Surgery CurrentSince Sep 16, 2018 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 1, 2014 Accepting new patients
Scripps Health Current Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients

Locations

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

4445 Eastgate Mall
Ste 105
San Diego, CA 92121
Phone (858) 357-9450

4445 Eastgate Mall
Ste 103
San Diego, CA 92121
Phone (858) 450-7118

6719 Alvarado Rd
Ste 200
San Diego, CA 92120
Phone (619) 229-3932

3750 Convoy St
Ste 201
San Diego, CA 92111
Phone (858) 278-8031

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rjain42215@scrippshlth.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467417600000",
    "number": "1861495756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 CONVOY ST",
            "address_2": "SUITE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113738",
            "telephone_number": "858-278-8300",
            "fax_number": "858-278-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 CONVOY ST",
            "address_2": "SUITE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113738",
            "telephone_number": "858-278-8300",
            "fax_number": "858-278-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "RINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2016-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A82128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A812380",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "WA81238A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.