NPIMap

Individual provider Active NPI

John A Sarkaria, M.D.

  • Pediatrics Physician
  • Tustin, CA
National Provider Identifier
1245250695
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G063280 Issued in CA
Practice address
14642 Newport Ave
Suite 450
Tustin, CA 92780-6057
Phone
(714) 669-4449
Fax
(714) 669-4003
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G063280 CA
Pediatrics Physician 208000000X G063280 CA Primary

Addresses

Primary practice location

14642 Newport Ave
Suite 450
Tustin, CA 92780-6057

Mailing address

14642 Newport Ave
Suite 450
Tustin, CA 92780-6057
Phone (714) 669-4449

Other identifiers 1

IdentifierTypeStateIssuer
00G632800MedicaidCA

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
I20060829000333 CA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3971507203 Receives reassigned benefits from 1 practitioner
Practice locations: Tustin, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of California, Geffen School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14642 Newport Ave
Tustin, CA 92780-6092
Phone (714) 669-4449

14642 Newport Ave
Suite 450
Tustin, CA 92780-6057
Phone (714) 669-4449

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G063280CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Global Medical Center, Inc Past Accepting new patients
St Joseph Regional Health Network Past Accepting new patients
Commonspirit Washington Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
St. Joseph Hospital Past Accepting new patients
Chapman Medical Center Inc Past Accepting new patients
Children's Hospital of Orange County Past Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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 and National Provider Directory roles.

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1245250695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14642 NEWPORT AVE",
            "address_2": "SUITE 450",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806057",
            "telephone_number": "714-669-4449",
            "fax_number": "714-669-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14642 NEWPORT AVE",
            "address_2": "SUITE 450",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806057",
            "telephone_number": "714-669-4449",
            "fax_number": "714-669-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARKARIA",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G063280",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G063280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G632800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.