ANITA JAIN M.D.
NPI 1962508713
Pediatrics in Fairfield, CA

Active since September 16, 2006PECOS Enrolled
1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533(707) 864-5383(707) 399-2651 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anita Jain M.d. NPPES

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

ANITA JAIN M.D. (NPI 1962508713) is an individual pediatrics provider in Fairfield, California, licensed in California (A76657) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962508713
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameANITA JAINCredential: M.D.
Location Address1200 B GALE WILSON BLVDFairfield, CA 94533-3552
Mailing Address1200 B Gale Wilson BlvdFairfield, CA 94533-3552 · (707) 864-5383 · Fax (707) 399-2651
Fax(707) 399-2651
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1962508713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A76657
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1200 B GALE WILSON BLVD, Fairfield, CA 94533

Other Identifiers 2

OtherA76657CA · Medical License
Medicare UPINH88404AR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anita 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.

Medicare Billing Reassignment

Medicare enrollment records show Anita Jain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
2660 W COVELL BLVD
Davis, CA 95616
  • Reassigned Medicare billing, California enrollment
  • 918 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94533 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
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
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 20

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

Anesthesiology
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Anesthesiology
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Emergency Medicine
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Emergency Medicine
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Registered Nurse
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Registered Nurse
1200 B GALE WILSON BLVD, LINDA PRYOR, CORPORATE COMPLIANCE
FAIRFIELD, CA 94533
Nurse Practitioner (Acute Care)
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Dietitian, Registered
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533

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 Anita Jain's NPI number?

The NPI number for Anita Jain is 1962508713. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Anita Jain located?

Anita Jain practices at 1200 B Gale Wilson Blvd, Fairfield, CA 94533. The listed phone number is (707) 864-5383.

What is Anita Jain's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Anita Jain enrolled in Medicare?

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

Which organization bills Medicare for Anita Jain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anita Jain reassigns Medicare benefits to Regents Of The University Of California (Davis, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anita Jain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anita Jain was last updated on July 9, 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.