Organization Active NPI

Sharaf MD

  • Cardiovascular Disease Physician
  • Fountain Valley, CA
National Provider Identifier
1114553112
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
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

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Dr. Abdulkareem Sharaf, MDNPI 1720344880
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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
A160053MedicaidCA

Other names 1

  • Orange County Cardiovascular Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200408000185 CA Part B Supplier - Clinic/Group Practice 4385073659 Receives reassigned benefits from 2 practitioners
Practice locations: Fountain Valley, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.