SUPARNA JAIN M.D.
NPI 1053536458
Pediatrics - Pediatric Endocrinology in Santa Monica, CA

Q: What is Suparna Jain's NPI number?

The NPI number for Suparna Jain is 1053536458. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Q: What is Suparna Jain's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Q: When was this NPI record last updated?

The NPPES record for Suparna Jain was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2007PECOS Enrolled

1450 10TH ST., SUITE 304, SANTA MONICA, CA 90401(310) 458-1714(310) 394-8754 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Suparna Jain M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPARNA JAIN M.D. (NPI 1053536458) is an individual pediatric endocrinology provider in Santa Monica, California, licensed in California (G80932) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053536458

Entity TypeIndividualFemale

Primary Taxonomy2080P0205X

Provider Legal NameSUPARNA JAINCredential: M.D.

Location Address1450 10TH ST., SUITE 304Santa Monica, CA 90401-2838

Mailing Address1450 10th St., Suite 304Santa Monica, CA 90401-2838 · (310) 458-1714 · Fax (310) 394-8754

Phone(310) 458-1714

Fax(310) 394-8754

Sole ProprietorNo

Enumeration DateApril 13, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1053536458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0205X

License✔ Licensed in CA · G80932

Definition

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.

1450 10TH ST., Santa Monica, CA 90401

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suparna Jain M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID DALE RENAUD M.D.

General Practice

1450 10TH ST., #200
SANTA MONICA, CA 90401

Los Angeles County (310) 899-9793

CARLA V. TARDIO M.D.

Pediatrics

1450 10TH ST., SUITE 304
SANTA MONICA, CA 90401

Los Angeles County (310) 458-1714

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suparna Jain's NPI number?

The NPI number for Suparna Jain is 1053536458. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Suparna Jain located?

Suparna Jain practices at 1450 10th St. Suite 304, Santa Monica, CA 90401. The listed phone number is (310) 458-1714.

What is Suparna Jain's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Suparna Jain enrolled in Medicare?

Yes. Suparna Jain is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Suparna Jain was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.