Saurabh Jain MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

543454 Issued in CA

Legal business name

SAURABH JAIN MD INC

Doing business as

Wound Care Surgeon

Practice address

7301 Topanga Canyon Blvd
330
Canoga Park, CA 91303-1357

Phone

(818) 220-3393

Fax

(818) 356-4380

NPI assigned

Mar 15, 2013

Organization subpart

No

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

Authorized official

Name

Saurabh Jain, MDNPI 1528011970

Title

President

Phone

(818) 726-2148

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Wound Care Surgeon Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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

• Saurabh Jain, M.D.,M.R.C.S.

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1528011970
  Medicare reassignment Authorized official
• Sangeeta Menon

  • Family Nurse Practitioner
  • Irvine, CA
  • NPI 1467155143
  Medicare reassignment
• Farina Alvi Salim, P.A

  • Medical Physician Assistant
  • Colton, CA
  • NPI 1063651222
  Medicare reassignment
• Michael Fleming, PA

  • Surgical Physician Assistant
  • Valley Village, CA
  • NPI 1700834124
  NPD (past)
• Brianna Weller, NP

  • Nurse Practitioner
  • Berkeley, CA
  • NPI 1801542071
  NPD (past)

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1912248915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 TOPANGA CANYON BLVD",
            "address_2": "330",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031357",
            "telephone_number": "818-636-6749",
            "fax_number": "818-356-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 TOPANGA CANYON BLVD",
            "address_2": "330",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031357",
            "telephone_number": "818-220-3393",
            "fax_number": "818-356-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAURABH JAIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "SAURABH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-726-2148",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "543454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "DU9640",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912248915",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wound Care Surgeon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shiho Sato
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• Melanie Saucedo
• Samir Saunders
• Shannan Saunders
• Hansalak Savage, DC
• Saxlava Home Health Care, Inc.
• Saxlava Hospice, Inc
• Saybian Enterprises, Inc (Warner West Pharmacy and supplies)
• Saybian Enterprises, Inc. (Warner West Pharmacy & Supplies)

• Surgery Physician in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.