Active NPI
Sanjiv Kumar Jain, MD., a California Medical Corporation
- Ambulatory Surgical Clinic/Center
- Northridge, CA
National Provider Identifier
1952822959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- A47841
- Legal business name
- SANJIV KUMAR JAIN, MD., A CALIFORNIA MEDICAL CORPORATION
- Practice address
- 11177 Tampa Ave Ste B
Northridge, CA 91326-2254 - Phone
- (818) 366-0474
- Fax
- (818) 360-6319
- NPI assigned
- Jun 29, 2017
- Organization subpart
- Yes
- Parent organization
- SANJIV KUMAR JAIN, MD., A CALIFORNIA MEDICAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sanjiv Kumar Jain, MD
- Title
- President
- Phone
- (818) 366-0474
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A47841 | CA | |
| Ambulatory Surgical Clinic/Center | 261QA1903X | A47841 | CA | Primary |
Addresses
Primary practice location
11177 Tampa Ave Ste B
Northridge, CA 91326-2254
Mailing address
PO Box 8000
Northridge, CA 91327-8000
Phone (818) 366-0474
Other names 1
- LA AMBULATORY SURGERY CENTER, INC
National Provider Directory
National Provider Directory- Part of
- Sanjiv Kumar Jain MD a California Medical Corporation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1498694400000",
"number": "1952822959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8000",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913278000",
"telephone_number": "818-366-0474",
"fax_number": "818-360-6319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11177 TAMPA AVE STE B",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913262254",
"telephone_number": "818-366-0474",
"fax_number": "818-360-6319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANJIV KUMAR JAIN, MD., A CALIFORNIA MEDICAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SANJIV KUMAR JAIN, MD., A CALIFORNIA MEDICAL CORPORATION",
"enumeration_date": "2017-06-29",
"last_updated": "2017-06-29",
"status": "A",
"authorized_official_last_name": "JAIN",
"authorized_official_first_name": "SANJIV",
"authorized_official_middle_name": "KUMAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-366-0474",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "A47841",
"primary": false
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": "A47841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LA AMBULATORY SURGERY CENTER, INC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "LA AMBULATORY SURGERY CENTER, INC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.