Individual provider Active NPI

Vishal Sharma, M.B.B.S.

  • Psychiatry Physician
  • Stockton, CA
National Provider Identifier
1194080093
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A145031 Issued in CA
Practice address
7701 Austin Road
Stockton, CA 95215
Phone
(209) 467-2500
NPI assigned
Jul 7, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A145031 CA Primary

Addresses

Primary practice location

7701 Austin Road
Stockton, CA 95215

Mailing address

7707 Austin Rd
Stockton, CA 95215-8312
Phone (209) 467-2500

Other practice location 1

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

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
I20260105001134 CA Practitioner - Psychiatry 0648565598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mind Body Medicine IncGroup PAC ID 2264893197, 2 clinicians

Practice addresses (Care Compare)

2509 W March LN
Suite 250
Stockton, CA 95207-8222
Phone (209) 800-1718

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A145031CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Medicine Inc Psychiatry CurrentSince Nov 14, 2025 Accepting new patients

Locations

1811 Grand Canal Blvd
Ste 3
Stockton, CA 95207
Phone (209) 800-1718

2509 W March Ln
Ste 250
Stockton, CA 95207
Phone (209) 222-6061

Organizations & group practices 1

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": "1341619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1194080093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 AUSTIN RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952158312",
            "telephone_number": "209-467-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 AUSTIN ROAD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95215",
            "telephone_number": "209-467-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-334-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "VISHAL",
        "credential": "M.B.B.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-07",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A145031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.