Individual provider Active NPI

Sharon N Damato

  • Physician Assistant
  • San Leandro, CA
National Provider Identifier
1184256976
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
58141 Issued in CA
Practice address
13690 E 14TH St Ste 100
San Leandro, CA 94578-2584
Phone
(510) 984-2489
NPI assigned
Feb 10, 2020
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Physician Assistant 363A00000X 58141 CA Primary

Addresses

Primary practice location

13690 E 14TH St Ste 100
San Leandro, CA 94578-2584

Mailing address

13690 E 14TH St Ste 100
San Leandro, CA 94578-2584

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210701001330 CA Practitioner - Physician Assistant 0749681492 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians Associates San Jose PCGroup PAC ID 8921344292, 131 clinicians

Practice addresses (Care Compare)

2105 Forest Ave
San Jose, CA 95128-1425
Phone (408) 947-2500

751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
58141CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Urgent Care Current Accepting new patients
County of Santa Clara Urgent Care CurrentSince Jun 25, 2021 Accepting new patients
City Health, a Medical Corporation Urgent Care CurrentSince Oct 11, 2020 Accepting new patients
County of Santa Clara CurrentSince Jun 25, 2021 Accepting new patients
County of Santa Clara CurrentSince Jun 25, 2021 Accepting new patients
UCSF Health Community Hospitals PastSince Oct 11, 2020 Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

1887 Monterey Hwy
Ste 205
San Jose, CA 95112
Phone (408) 494-1561

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

2425 Enborg Ln
San Jose, CA 95128
Phone (408) 885-5400

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

13690 E 14th St
Ste 100
San Leandro, CA 94578
Phone (510) 984-2489

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Interoperability endpoints

  • Direct secure messaging: sdamato177418@santaclaravalley.direct-ci.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1184256976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13690 E 14TH ST STE 100",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13690 E 14TH ST STE 100",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782584",
            "telephone_number": "510-984-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMATO",
        "first_name": "SHARON",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2021-02-02",
        "certification_date": "2021-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.