Individual provider Active NPI

Sanjay Sharma, M.D.

  • Medical Oncology Physician
  • Fullerton, CA
National Provider Identifier
1174609358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
A91593 Issued in CA
Practice address
2151 N Harbor Blvd
Suite 2200
Fullerton, CA 92835-3801
Phone
(714) 449-4800
Fax
(714) 449-4956
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X A91593 CA Primary

Addresses

Primary practice location

2151 N Harbor Blvd
Suite 2200
Fullerton, CA 92835-3801

Mailing address

Dept la 21190
Pasadena, CA 91185-1190
Phone (714) 449-4800

Other identifiers 1

IdentifierTypeStateIssuer
A91593OtherCALICENSE

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
I20050730000154 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 9335177450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians
The Oncology Institute Ca, a Professional CorporationGroup PAC ID 5698872398, 114 clinicians

Practice addresses (Care Compare)

100 E Valencia Mesa Dr
Suite 105
Fullerton, CA 92835-3816
Phone (714) 871-3006

1001 S State St
Suite a
Hemet, CA 92543-7188
Phone (951) 465-7390

1514 Valley Vista Dr
Diamond Bar, CA 91765-3929
Phone (909) 860-1144

1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350

253 S Diamond Bar Blvd
Diamond Bar, CA 91765-1606
Phone (909) 860-1144

Hospital & facility affiliations

  • Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91593CAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Jun 11, 2011 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Starling Oncology Ca, a Professional Corporation Medical Oncology CurrentSince Oct 18, 2024 Accepting new patients
Providence Medical Foundation Current Accepting new patients
The Oncology Institute Ca, a Professional Corporation Medical Oncology CurrentSince Oct 18, 2024 Accepting new patients
Humboldt Medical Specialist, Inc Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients

Locations

18000 Studebaker Rd
Ste 800
Cerritos, CA 90703

900 S Main St
Ste 204
Corona, CA 92882
Phone (951) 372-2400

1514 Valley Vista Dr
Diamond Bar, CA 91765
Phone (909) 560-1144

11100 Warner Ave
Ste 214
Fountain Vly, CA 92708
Phone (714) 594-7820

6121 N Thesta St
Ste 204
Fresno, CA 93710
Phone (559) 438-7390

2151 N Harbor Blvd
Ste 3200
Fullerton, CA 92835
Phone (714) 446-5101

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

100 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 447-5027

279 Imperial Hwy
Ste 730
Fullerton, CA 92835
Phone (714) 449-4841

2151 N Harbor Blvd
Ste 2200
Fullerton, CA 92835
Phone (714) 446-5900

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

1001 S State St
Hemet, CA 92543
Phone (951) 357-6959

1001 S State St
Ste A
Hemet, CA 92543
Phone (951) 357-6959

3300 E South St
Ste 304
Lakewood, CA 90805
Phone (562) 232-0550

Dept LA 21190
Pasadena, CA 91185

399 E Highland Ave
Ste 501
Sn Bernrdno, CA 92404
Phone (909) 982-4252

425 Haaland Dr
Ste 103
Thousand Oaks, CA 91361
Phone (805) 345-2020

2067 W Vista Way
Ste 295
Vista, CA 92083
Phone (526) 735-3226

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sanjaysharma@theoncologyinstitute.ikm.direct-ci.com
  • Direct secure messaging: ssharma1372941@oc.providencedirect.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174609358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 21190",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911851190",
            "telephone_number": "714-449-4800",
            "fax_number": "714-449-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 N HARBOR BLVD",
            "address_2": "SUITE 2200",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353801",
            "telephone_number": "714-449-4800",
            "fax_number": "714-449-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "SANJAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A91593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A91593",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.