Active NPI
Amin Sharif, PA-C
- Medical Physician Assistant
- Laguna Hills, CA
National Provider Identifier
1174022818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA61600
- Practice address
- 27001 Moulton Pkwy Ste A102
Laguna Hills, CA 92656-3626 - Phone
- (949) 600-1907
- NPI assigned
- Feb 8, 2018
- Reactivated
- Sep 16, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Medical Physician Assistant | 363AM0700X | PA61600 | CA | Primary |
Addresses
Primary practice location
27001 Moulton Pkwy Ste A102
Laguna Hills, CA 92656-3626
Mailing address
27001 Moulton Pkwy Ste A102
Laguna Hills, CA 92656-3626
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61600 | CA | MD | General Practice Dentistry |
| PA61600 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Neurology PC | Current | Accepting new patients | |
| Cep America - Neurology PC | Current | Accepting new patients | |
| Nellie Gail Urgent Care | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939
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.
-
- Neurology Physician
- Santa Barbara, CA
- NPI 1225569346
-
- Urgent Care Clinic/Center
- Laguna Hills, CA
- NPI 1073909859
-
- Neurology Physician
- Murrieta, CA
- NPI 1235779521
-
- Neurology Physician
- Terre Haute, IN
- NPI 1124843586
-
- Urgent Care Clinic/Center
- Laguna Hills, CA
- NPI 1306214184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1174022818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27001 MOULTON PKWY STE A102",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926563626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27001 MOULTON PKWY STE A102",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926563626",
"telephone_number": "949-600-1907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARIF",
"first_name": "AMIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-08",
"last_updated": "2022-09-21",
"certification_date": "2022-09-16",
"deactivation_date": "2022-08-25",
"reactivation_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA61600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.