Individual provider Active NPI

Sharon L Basham, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Santa Barbara, CA
National Provider Identifier
1104842541
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A60091 Issued in CA
Practice address
2415 De la Vina St
Santa Barbara, CA 93105-3819
Phone
(805) 689-5718
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A60091 CA Primary

Addresses

Primary practice location

2415 De la Vina St
Santa Barbara, CA 93105-3819

Mailing address

3905 State St Ste 7-132
Santa Barbara, CA 93105-3138
Phone (805) 689-5718

Other identifiers 1

IdentifierTypeStateIssuer
250013397OtherCARR MEDICARE

Other names 1

  • Sharon L Broadbent Former name

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
I20100605000124 CA Practitioner - Physical Medicine and Rehabilitation 3971676230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Chicago College of Medicine and Surgery, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2415 De la Vina St
Santa Barbara, CA 93105-3819
Phone (805) 687-7444

Hospital & facility affiliations

  • Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396
  • Goleta Valley Cottage Hospital Hospital, Santa Barbara, CA, CCN 050357
  • Cottage Rehabilitation Hospital Inpatient rehabilitation facility, Santa Barbara, CA, CCN 05T396

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A60091CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cottage Medical Foundation CurrentSince Feb 1, 2026 Accepting new patients
Bash Physiatry Inc Pain Medicine CurrentSince Feb 1, 2021 Accepting new patients

Locations

2415 De la Vina St
Santa Barbara, CA 93105
Phone (805) 569-8922

400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279

3905 State St
Ste 7132
Santa Barbara, CA 93105

2320 Bath St
Ste 315
Santa Barbara, CA 93105
Phone (805) 569-7236

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1104842541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 STATE ST STE 7-132",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053138",
            "telephone_number": "805-689-5718",
            "fax_number": "805-563-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 DE LA VINA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053819",
            "telephone_number": "805-689-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHAM",
        "first_name": "SHARON",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A60091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "250013397",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "BROADBENT",
            "middle_name": "L",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.