Individual provider Active NPI

Sharath Kumar Elias Reniguntala, M.D.

  • General Practice Physician
  • Orange, CA
National Provider Identifier
1003107152
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A151331 Issued in CA
Practice address
265 S Anita Dr
Orange, CA 92868-3355
Phone
(949) 531-6344
NPI assigned
Apr 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A151331 CA
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X A151331 CA Primary

Addresses

Primary practice location

265 S Anita Dr
Orange, CA 92868-3355

Mailing address

265 S Anita Dr
Orange, CA 92868-3355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180620001745 CA Practitioner - Family Practice 8628391711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

431 N Tustin Ave
Suite B
Santa Ana, CA 92705-3821
Phone (949) 272-9919

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A151331CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharath Reniguntala MD Inc CurrentSince Mar 15, 2025 Accepting new patients
New Foundation Medical Inc. Family Medicine CurrentSince Sep 13, 2023 Accepting new patients
CGH Medical Center Past Accepting new patients

Locations

6960 Magnolia Ave
Ste 203
Riverside, CA 92506
Phone (714) 352-5800

431 N Tustin Ave
Ste B
Santa Ana, CA 92705
Phone (714) 558-1124

520 N Main St
Ste 220
Santa Ana, CA 92701
Phone (714) 352-5800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/Es63ilPkkETpas1hoRy0bFNgpWFGLAl3/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1003107152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 S ANITA DR",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 S ANITA DR",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683355",
            "telephone_number": "949-531-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENIGUNTALA",
        "first_name": "SHARATH KUMAR",
        "middle_name": "ELIAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-25",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A151331",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A151331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.