SANJIV KUMAR JAIN, MD., A CALIFORNIA MEDICAL CORPORATION (NPI# 1952822959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952822959 |
| Entity Type | Organization |
| Organization Name | SANJIV KUMAR JAIN, MD., A CALIFORNIA MEDICAL CORPORATION |
| Other Organization Name | LA AMBULATORY SURGERY CENTER, INC |
| Practice Address |
11177 Tampa Ave Ste B Northridge CA 91326-2254 |
| Mailing Address |
Po Box 8000 Northridge CA 91327-8000 |
| Practice Telephone | 8183660474 |
| Practice Fax Number | 8183606319 |
| Mailing Telephone | 8183660474 |
| Mailing Fax Number | 8183606319 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |
| Authorized Official Name | DR. SANJIV KUMAR JAIN (PRESIDENT) |
| Authorized Official Telephone | 8183660474 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SANJIV KUMAR JAIN, MD., A CALIFORNIA MEDICAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | A47841 | CA | Allopathic & Osteopathic Physicians |
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
A47841 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| LA AMBULATORY SURGERY CENTER, INC | Doing Business As Name - Organization |
| Street Address |
11177 TAMPA AVE STE B |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91326-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386172989 | Carrie Jain | Speech-Language Pathologist | 20341 Livorno Way, Porter Ranch, CA 91326 | 2017-05-25 |
| 1932583143 | Karyn L Delichte | Student in an Organized Health Care Education/Training Program | 20280 Sorrento Lane, Unit 203, Porter Ranch, CA 91326 | 2015-07-17 |
| 1104239995 | Fadia Zaky Shehata | Anesthesiology | 19012 Vist Grande Wy, Porterranch, CA 91326 | 2014-06-09 |
| 1992058291 | Beverly Hills Anesthesia Group, LLC | Anesthesiology | 11177 Tampa Ave, Suite B, Northridge, CA 91326 | 2012-10-24 |
| 1922386416 | Estela Hauser | Physician Assistant | 19950 Rinaldi Street, Suite 100, Northridge, CA 91326 | 2011-08-01 |
| 1528351459 | Alina Katsman | Family Medicine | 19950 Rinaldi St., Ste 300, Porter Ranch, CA 91326 | 2011-05-25 |
| 1073811899 | Terry M. Mcelroy Inc. | Nurse Anesthetist, Certified Registered | 11931 Eddleston Dr., Northridge, CA 91326 | 2011-03-02 |
| 1265664304 | Karine Yeghoyan | Internal Medicine | 11200 Corbin Street, 200, Porter Ranch, CA 91326 | 2009-08-21 |
| 1609003276 | Pacific Pharmacy Group | Pharmacy | 19550 Rinaldi Street, Suite 102, Northridge, CA 91326 | 2009-06-22 |
| 1558505321 | David Dae-young Kim | Internal Medicine | 19950 Rinaldi St, Suite 310, Port Ranch, CA 91326 | 2009-04-24 |
| Find all providers in zip 91326 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851647549 | California Surgical Specialty Group,inc | Clinic/Center | 17114 Devonshire St Ste 102, Northridge, CA 91325-1619 | 2012-07-31 |
| 1659570141 | Womens Surgicenter Inc | Clinic/Center | 18546 Roscoe Blvd Ste 220b, Northridge, CA 91324-4661 | 2007-07-13 |
| 1033271176 | Hallmark Surgical Center of Northridge | Clinic/Center | 8327 Reseda Boulevard, Northridge, CA 91324-4620 | 2006-12-14 |
| 1417971821 | Northridge Advanced Surgery Center | Clinic/Center | 8331 Reseda Blvd, Northridge, CA 91324-4620 | 2006-07-27 |
| 1508498627 | Northridge Surgery Center LLC | Clinic/Center | 19331 Business Center Dr Ste 102, Northridge, CA 91324-3533 | 2020-02-06 |
| 1225439508 | Northridge Outpatient Surgery Center Inc | Clinic/Center | 19871 Nordhoff St, Northridge, CA 91324-3331 | 2014-09-05 |
| 1710321328 | Valley Physicians Surgery Center At Northridge LLC | Clinic/Center | 18300 Roscoe Blvd, Northridge, CA 91325-4105 | 2013-04-25 |
| 1760794218 | Nsc Management Company, Inc. | Clinic/Center | 8327 Reseda Blvd, Northridge, CA 91324-4620 | 2010-07-12 |
| 1003824434 | Northridge Facial Plastic Surgery Medical Group | Clinic/Center | 18350 Roscoe Blvd, #318a, Northridge, CA 91325-4109 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384303 | Abroms Dougherty Vision Asc LLC | Clinic/Center | 4472 Broad St Ste 150, San Luis Obispo, CA 93401-7933 | 2020-10-23 |
| 1861091993 | Willow Vista Surgical Center | Clinic/Center | 39810 Portola Ave, Palm Desert, CA 92260-0624 | 2020-10-20 |
| 1366041469 | The Regents of The University of California | Clinic/Center | 4343 Lankershim Blvd Ste 210, North Hollywood, CA 91602-2705 | 2020-10-20 |
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
| 1538775267 | Ev Surgery Institute LLC | Clinic/Center | 105 N Bascom Ave Ste 105, San Jose, CA 95128-1811 | 2020-09-18 |
| 1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
| 1811501661 | Precision Surgical Arts | Clinic/Center | 20311 Sw Birch St Ste 201, Newport Beach, CA 92660-1777 | 2020-08-31 |
| 1205448750 | Elite Surgery Center of South Bay LLC | Clinic/Center | 20528 Hawthorne Blvd Ste 301, Torrance, CA 90503-3202 | 2020-08-17 |
| 1740891571 | Peninsula Surgery Center, LLC | Clinic/Center | 350 Marine Pkwy Ste 100, Redwood City, CA 94065-5224 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | NORTHRIDGE |
| Zip Code | 91326 |
Please comment or provide details below to improve the information on SANJIV KUMAR JAIN, MD., A CALIFORNIA MEDICAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.