NPIMap

Organization Active NPI

Sharp Healthcare

  • General Practice Physician
  • Coronado, CA
National Provider Identifier
1013368752
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SHARP HEALTHCARE
Practice address
230 Prospect PL Ste 340B
Coronado, CA 92118-1991
Phone
(619) 522-4000
Fax
(619) 435-0150
NPI assigned
Jun 23, 2016
Organization subpart
Yes
Parent organization
SHARP HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Christopher D. Howard
Title
Ceo & President
Phone
(858) 499-4003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

230 Prospect PL Ste 340B
Coronado, CA 92118-1991

Mailing address

8695 Spectrum Center Blvd
San Diego, CA 92123-1489
Phone (858) 499-3025

Other identifiers 1

IdentifierTypeStateIssuer
95-1193OtherMEDICARE

Other names 1

  • SharpCare Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sharp Rees Stealy Pharm25 organizations share this tax ID, including this one
Part of
Sharp Rees Stealy Pharm

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1013368752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8695 SPECTRUM CENTER BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231489",
            "telephone_number": "858-499-3025",
            "fax_number": "858-499-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 PROSPECT PL STE 340B",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181991",
            "telephone_number": "619-522-4000",
            "fax_number": "619-435-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARP HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHARP HEALTHCARE",
        "enumeration_date": "2016-06-23",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "858-499-4003"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "95-1193",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SharpCare Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coronado, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.