MEDICARE: DR. SHAILI JAIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	45640	WI
2	2084P0800X	Psychiatry Physician	C54395	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790892214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAILI JAIN MD

Provider Business Mailing Address
First Line	:	3835 N FREEWAY BLVD STE 100
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-1954
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 W EL CAMINO REAL STE 280
Second Line	:
City	:	SUNNYVALE
State	:	CA
Zip	:	94087-8127
Country	:	US
Telephone Number	:	855-501-1004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	05/19/2026

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Directions to “ DR. SHAILI JAIN MD” Practice Location

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