Organization Active NPI

Encino Place Pain Management and Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Encino, CA
National Provider Identifier
1861722522
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ENCINO PLACE PAIN MANAGEMENT AND SURGERY CENTER, INC.
Practice address
16101 Ventura Blvd
Suite 240
Encino, CA 91436-2500
Phone
(818) 802-3514
NPI assigned
Dec 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Authorized official

Name
Dr. Shubha Jain, MD
Title
Owner/President
Phone
(818) 802-3514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

16101 Ventura Blvd
Suite 240
Encino, CA 91436-2500

Mailing address

16101 Ventura Blvd
Suite 240
Encino, CA 91436-2500
Phone (818) 802-3514

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1861722522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16101 VENTURA BLVD",
            "address_2": "SUITE 240",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362500",
            "telephone_number": "818-802-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16101 VENTURA BLVD",
            "address_2": "SUITE 240",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362500",
            "telephone_number": "818-802-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCINO PLACE PAIN MANAGEMENT AND SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "SHUBHA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "818-802-3514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.