Individual provider Active NPI

Alexander Carlton Sherriffs Jr., M.D.

  • Family Medicine Physician
  • Fowler, CA
National Provider Identifier
1154353050
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G40133 Issued in CA
Practice address
8448 E Adams Ave
Fowler, CA 93625-9773
Phone
(559) 834-2519
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G40133 CA
Geriatric Medicine (Family Medicine) Physician 207QG0300X G40133 CA
Family Medicine Physician 207Q00000X G40133 CA Primary

Addresses

Primary practice location

8448 E Adams Ave
Fowler, CA 93625-9773

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682

Other practice location 1

2335 E Kashian Ln Ste 301
Fresno, CA 93701-2234
Phone (559) 227-4810

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
I20110310000036 CA Practitioner - Family PracticePractitioner - Geriatric Medicine 7113109356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
University of California, Davis School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2335 E Kashian LN
Fresno, CA 93701-2234

550 E Shaw Ave
Suite 105
Fresno, CA 93710-7702
Phone (559) 227-4810

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as group
Quality
76.71
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G40133CAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of University of California Current Accepting new patients
Regents of University of California Geriatric Medicine CurrentSince Jun 30, 2012 Accepting new patients
University Faculty Associates, Inc. Family Medicine CurrentSince Apr 1, 2015 Accepting new patients
University Faculty Associates, Inc. Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

8448 E Adams Ave
Fowler, CA 93625
Phone (559) 834-2519

119 S 6th St
Fowler, CA 93625
Phone (559) 834-1614

2335 E Kashian Ln
Ste 301
Fresno, CA 93701
Phone (559) 224-5864

290 N Wayte Ln
Ste 2100
Fresno, CA 93701
Phone (866) 342-6012

2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200

2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

550 E Shaw Ave
Ste 105
Fresno, CA 93710
Phone (559) 227-4810

290 N Wayte Ln
Fresno, CA 93701
Phone (559) 459-4101

445 S Cedar Ave
Fresno, CA 93702
Phone (559) 459-4000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1154353050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211431",
            "telephone_number": "559-443-2682",
            "fax_number": "559-443-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8448 E ADAMS AVE",
            "city": "FOWLER",
            "state": "CA",
            "postal_code": "936259773",
            "telephone_number": "559-834-2519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2335 E Kashian Ln Ste 301",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937012234",
            "country_code": "US",
            "telephone_number": "559-227-4810",
            "fax_number": "559-227-4167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERRIFFS",
        "first_name": "ALEXANDER",
        "middle_name": "CARLTON",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G40133",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G40133",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G40133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fowler, CA

Sources for this page

Verify at the official NPI Registry.