NPIMap

Individual provider Active NPI

David Sherman, M.D.

  • Specialist
  • Glendale, CA
National Provider Identifier
1235164294
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G36479 Issued in CA
Practice address
1510 S Central Ave
Suite 640
Glendale, CA 91204-2500
Phone
(818) 242-3200
Fax
(818) 242-3220
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G36479 CA Primary

Addresses

Primary practice location

1510 S Central Ave
Suite 640
Glendale, CA 91204-2500

Mailing address

1510 S Central Ave
Suite 640
Glendale, CA 91204-2500
Phone (818) 242-3200

Other identifiers 1

IdentifierTypeStateIssuer
00G364790MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100115000220 CA Practitioner - NephrologyPractitioner - Internal Medicine 3971499138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
New York Medical College, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axoderm CorpGroup PAC ID 1456840982, 3 clinicians

Practice addresses (Care Compare)

1510 S Central Ave
Suite 640
Glendale, CA 91204-2552
Phone (818) 242-3200

Hospital & facility affiliations

  • Care Dialysis Center Dialysis facility, Glendale, CA, CCN 752549
  • V & V Home Health Inc Home health agency, Glendale, CA, CCN 559116
  • Gardens Home Health Home health agency, Hacienda Heights, CA, CCN 757261
  • Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058
  • Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue84

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Axoderm Corp CurrentSince Aug 6, 2025 Accepting new patients
Sherman Medical Group Inc CurrentSince Oct 14, 1999 Accepting new patients
Dignity Health Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients

Locations

1510 S Central Ave
Ste 640
Glendale, CA 91204
Phone (310) 933-5054

1510 S Central Ave
Ste 640B
Glendale, CA 91204
Phone (818) 242-3200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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 5

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1235164294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE",
            "address_2": "SUITE 640",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042500",
            "telephone_number": "818-242-3200",
            "fax_number": "818-242-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE",
            "address_2": "SUITE 640",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042500",
            "telephone_number": "818-242-3200",
            "fax_number": "818-242-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G36479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G364790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.