Provider Demographics
NPI:1972558807
Name:JAIN, ARTI (MD)
Entity type:Individual
Prefix:DR
First Name:ARTI
Middle Name:
Last Name:JAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 HOSPITAL DR STE 8A
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4114
Mailing Address - Country:US
Mailing Address - Phone:408-462-9261
Mailing Address - Fax:408-701-5006
Practice Address - Street 1:2500 HOSPITAL DR STE 8A
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4114
Practice Address - Country:US
Practice Address - Phone:408-462-9261
Practice Address - Fax:408-701-5006
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA77790208000000X
CO43302208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO91273544Medicaid
CO805121Medicare ID - Type Unspecified
COH81029Medicare UPIN