Active NPI
Rajesh Sharma, MSW, BCBA
- Behavior Analyst
- Villa Park, CA
National Provider Identifier
1003632514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Holistic Care Inc | Behavior Analyst | Current | 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.