| Kiran A Jain, MD | |
|
1213 Southfield Ct, Davis, CA 95616-5727 | |
| (952) 595-1100 | |
| (612) 294-4903 |
| Full Name | Kiran A Jain |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 51 Years |
| Location | 1213 Southfield Ct, Davis, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750369336 | NPI | - | NPPES |
| A44854 | Other | CA | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A44854 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary's Medical Center | San francisco, CA | Hospital |
| Healthalliance Hospital Marys Avenue Campus | Kingston, NY | Hospital |
| Sequoia Hospital | Redwood city, CA | Hospital |
| Saint Francis Memorial Hospital | San francisco, CA | Hospital |
| Margaretville Memorial Hospital | Margaretville, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Image Guided Therapeutics Inc | 6608874896 | 16 |
| Westchester Medical Center Advanced Physician Services Pc | 3173660776 | 745 |
| Entity Name | Dignity Health Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
| Entity Name | Image Guided Therapeutics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316968910 PECOS PAC ID: 6608874896 Enrollment ID: O20061122000480 |
| Entity Name | Universal Radiology Partners Of California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467225235 PECOS PAC ID: 7214372986 Enrollment ID: O20240304003247 |
| Mailing Address | Practice Location Address |
|---|---|
| Kiran A Jain, MD 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301 | Kiran A Jain, MD 1213 Southfield Ct, Davis, CA 95616-5727 Ph: (952) 595-1100 |
Dr. Steven E Liston, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1562 Rialto Ln, Davis, CA 95618 Phone: 530-756-1619 Fax: 530-756-4681 | |
Diane M Lovell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 885 Russell Blvd, Davis, CA 95616 Phone: 530-756-1450 Fax: 530-756-1602 | |
Dr. John C. Ling, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1527 Arena Dr, Davis, CA 95618 Phone: 530-756-5807 |