Individual provider Active NPI

Rajesh Sharma, MSW, BCBA

  • Behavior Analyst
  • Villa Park, CA
National Provider Identifier
1003632514
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-16373
Practice address
17871 Santiago Blvd Ste 222
Villa Park, CA 92861-4126
Phone
(657) 660-3156
Fax
(657) 600-0975
NPI assigned
Nov 29, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-14-16373 Primary

Addresses

Primary practice location

17871 Santiago Blvd Ste 222
Villa Park, CA 92861-4126

Mailing address

942 W Sierra Nevada Way
Orange, CA 92865-2011

Other names 1

  • Jay Sharma Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Holistic Care Inc Behavior Analyst CurrentSince Jan 1, 2025 Accepting new patients

Locations

17871 Santiago Blvd
Ste 222
Villa Park, CA 92861
Phone (657) 660-3156

Organizations & group practices 1

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": "1732838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1003632514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 W SIERRA NEVADA WAY",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928652011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17871 SANTIAGO BLVD STE 222",
            "city": "VILLA PARK",
            "state": "CA",
            "postal_code": "928614126",
            "telephone_number": "657-660-3156",
            "fax_number": "657-600-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "RAJESH",
        "credential": "MSW, BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-29",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-14-16373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "SHARMA",
            "credential": "MSW, BCBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Villa Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.