Active NPI
Sharon L Basham, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Santa Barbara, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- A60091
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250013397 | Other | CA | RR MEDICARE |
Other names 1
- Sharon L Broadbent
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
Enrollment records 1
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
- Goleta Valley Cottage Hospital
- Cottage Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A60091 | CA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cottage Medical Foundation | Current | Accepting new patients | |
| Bash Physiatry Inc | Pain Medicine | Current | 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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Santa Barbara, CA
- NPI 1851981799
-
- Clinic/Center
- Santa Barbara, CA
- NPI 1770352130
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Barbara, CA
- NPI 1225038136
-
- General Acute Care Hospital
- Santa Barbara, CA
- NPI 1477554152
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.