SUPARNA JAIN (NPI# 1053536458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053536458 |
| Entity Type | Individual |
| Full Name | SUPARNA JAIN |
| Credential | M.D. |
| Practice Address |
1450 10th St. Suite 304 Santa Monica CA 90401-2838 |
| Practice Telephone | 3104581714 |
| Practice Fax Number | 3103948754 |
| Mailing Telephone | 3104581714 |
| Mailing Fax Number | 3103948754 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
G80932 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649240839 | Suparna Jain | Internal Medicine | 4745 Sutton Park Court, Suite 701, Jacksonville, FL 32224-0257 | 2006-01-23 |
| Street Address |
1450 10TH ST. SUITE 304 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90401-2838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891919205 | Carla V. Tardio | Pediatrics | 1450 10th St., Suite 304, Santa Monica, CA 90401-2838 | 2007-04-13 |
| 1427221126 | David Dale Renaud | General Practice | 1450 10th St., #200, Santa Monica, CA 90401 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499458 | Franchesca Johnson Gordon | Marriage & Family Therapist | 900 Wilshire Blvd., Ste. 450, Santa Monica, CA 90401 | 2018-09-01 |
| 1629564083 | Michelle Jillian Dolinsky | Social Worker | 1243 7th St Ste C, Santa Monica, CA 90401 | 2018-07-09 |
| 1528507084 | Doctor Tlc, License Clinical Psychologist, Inc. | Community/Behavioral Health | 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401 | 2017-02-16 |
| 1285006023 | Venessa Leeann Roca | Speech-Language Pathologist | 1218 6th Street, Santa Monica, CA 90401 | 2015-10-20 |
| 1720468036 | Stephen J. Kenneally | Marriage & Family Therapist | 610 Santa Monica Bvd, Ste. 201, Santa Monica, CA 90401 | 2015-06-02 |
| 1629458070 | Dominique L Robertson | Marriage & Family Therapist | 530 Wilshire, #310, Santa Monica, CA 90401 | 2015-06-01 |
| 1205252673 | Santa Monica Sports Medicine Inc. | Physical Medicine & Rehabilitation | 900 Wilshire Blvd. #410, Santa Monica, CA 90401 | 2014-03-10 |
| 1154675023 | Sherry Marie Martyn | Psychologist | 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 | 2012-10-31 |
| 1700159829 | Gary Warburton | Dentist | 519 Arizona Ave., Santa Monica, CA 90401 | 2012-02-21 |
| 1265713036 | Aleksandr Mailyan | Reflexologist | 201 Wilshire Blvd #101, Santa Monica, CA 90401 | 2011-09-07 |
| Find all providers in zip 90401 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497037915 | Sena Cantas Orsdemir | Pediatrics | 1 Med Plaza Dr, Irvine, CA 92697-1132 | 2011-09-10 |
| 1770720799 | John Shih-chang Ching | Pediatrics | 9300 Valley Childrens Pl # Mb23, Madera, CA 93636-8761 | 2009-01-13 |
| 1386890135 | Nicolas Leigh Cuttriss | Pediatrics | 300 Pasteur Dr Rm G-313, Stanford, CA 94305-2200 | 2008-08-13 |
| 1306017421 | Audrey Denise Briscoe | Pediatrics | 9449 East Imperial Hwy, Department of Pediatrics Suite 332, Downey, CA 90242 | 2008-03-17 |
| 1255452025 | Nadia Shaheen Sattar | Pediatrics | 39650 Liberty St Ste 140, Fremont, CA 94538-2225 | 2007-04-02 |
| 1255471975 | Huong Quynh Nguyen | Pediatrics | 7055 N Chestnut Ave, Suite 103, Fresno, CA 93720-0350 | 2007-02-08 |
| 1376659995 | Sherry L. Franklin | Pediatrics | 7910 Frost St Ste 435, San Diego, CA 92123-2771 | 2006-08-23 |
| 1124041710 | Ramin R Mogadas | Pediatrics | 9985 Sierra Ave Fl Mob, Fontana, CA 92335-6720 | 2006-07-25 |
| 1164442620 | Mario I. Brakin, M.d.,f.a.a.p., Inc | Pediatrics | 2650 Elm Ave Ste 210, Long Beach, CA 90806-1600 | 2006-07-20 |
| 1730138009 | Jordan Pinsker | Pediatrics | 2219 Bath Street, William Sansum Diabetes Center, Santa Barbara, CA 93105 | 2006-05-06 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MONICA |
| Zip Code | 90401 |
Please comment or provide details below to improve the information on SUPARNA JAIN.
| 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.