Active NPI
Vivek Jain, MD
- Neurology Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A73069
- Practice address
- 101 The City Dr S
Orange, CA 92868-3201 - Phone
- (714) 456-7707
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A73069 | CA | Primary |
Addresses
Primary practice location
101 The City Dr S
Orange, CA 92868-3201
Mailing address
911 Sunset Dr
Hollister, CA 95023-5606
Phone (831) 636-2620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A730690 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
911 Sunset Dr
Hollister, CA 95023-5606
Phone 83163726262601
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73069 | CA | MD | Pharmacist |
| A73069 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cytodiagnostics | Current | Accepting new patients | |
| Hazel Hawkins Memorial Hospital | Current | Accepting new patients | |
| Hazel Hawkins Memorial Hospital | Current | Accepting new patients |
Locations
930 Sunset Dr
Ste 3
Hollister, CA 95023
Phone (831) 636-2664
911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640
890 Sunset Dr
Ste A2
Hollister, CA 95023
Phone (831) 635-9788
Interoperability endpoints
- vivek.jain@hhch.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Hollister, CA
- NPI 1275578817
-
- Anatomic Pathology & Clinical Pathology Physician
- Hollister, CA
- NPI 1396739074
-
- Rural Health Clinic/Center
- Hollister, CA
- NPI 1013628353
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Salinas, CA
- NPI 1396378709
-
- General Acute Care Hospital
- Hollister, CA
- NPI 1275578817
-
- Rural Health Clinic/Center
- Gonzales, CA
- NPI 1437549284
Hospital
-
- General Acute Care Hospital
- Salinas, CA
- NPI 1750384079
-
- General Acute Care Hospital
- Los Banos, CA
- NPI 1366896300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540944000000",
"number": "1871679373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 SUNSET DR",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950235606",
"telephone_number": "831-636-2620",
"fax_number": "831-637-3126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 THE CITY DR S",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683201",
"telephone_number": "714-456-7707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "VIVEK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2018-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A73069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A730690",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.