Wellformed AI

NPI 1730130105 · live from the CMS NPI Registry

Sanjay Kumar Jain, MD

Radiology, Diagnostic Radiology in San Diego, CA. National Provider Identifier 1730130105, active.

NPI record

NPI1730130105 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location200 W Arbor Dr, San Diego, CA 92103
Practice phone800-926-8273
Mailing addressFile 57326, Los Angeles, CA 90074
EnumeratedMay 12, 2006
Last updatedAugust 10, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology2085R0202XD60342 (MD)
Radiology, Diagnostic Radiology primary2085R0202XA65344 (CA)
Radiology, Diagnostic Radiology2085R0202X2008032319 (MO)
Radiology, Diagnostic Radiology2085R0202XME101362 (FL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.