Active NPI
Sharaf MD
- Cardiovascular Disease Physician
- Fountain Valley, CA
National Provider Identifier
1114553112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- SHARAF MD
- Practice address
- 11100 Warner Ave Ste 354
Fountain Valley, CA 92708-7513 - Phone
- (714) 912-0047
- Fax
- (714) 912-0087
- NPI assigned
- Mar 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Abdulkareem Sharaf, MD
- Title
- Ceo
- Phone
- (714) 912-0047
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
11100 Warner Ave Ste 354
Fountain Valley, CA 92708-7513
Mailing address
11100 Warner Ave Ste 354
Fountain Valley, CA 92708-7513
Phone (714) 912-0047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A160053 | Medicaid | CA |
Other names 1
- Orange County Cardiovascular
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10840 Warner Ave
Ste 103
Fountain Valley, CA 92708
Phone (714) 395-4595
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Fountain Valley, CA
- NPI 1720344880
-
- Physician Assistant
- Anaheim, CA
- NPI 1639662950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644796800000",
"number": "1114553112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11100 WARNER AVE STE 354",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087513",
"telephone_number": "714-912-0047",
"fax_number": "714-912-0087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 WARNER AVE STE 354",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087513",
"telephone_number": "714-912-0047",
"fax_number": "714-912-0087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARAF MD",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-21",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A",
"authorized_official_last_name": "SHARAF",
"authorized_official_first_name": "ABDULKAREEM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-912-0047",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A160053",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Orange County Cardiovascular",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Orange County Cardiovascular",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.