NPIMap

Organization Active NPI

Optima Health Corp

  • Internal Medicine Physician
  • Riverside, CA
National Provider Identifier
1245892066
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OPTIMA HEALTH CORP
Practice address
3634 Elizabeth St
Riverside, CA 92506-2506
Phone
(951) 788-0008
Fax
(951) 788-0007
NPI assigned
Jul 2, 2019
Last updated
Jul 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Andro Sharobiem, MDNPI 1073711453
Title
President
Phone
(949) 412-1020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

3634 Elizabeth St
Riverside, CA 92506-2506

Mailing address

3634 Elizabeth St
Riverside, CA 92506-2506
Phone (951) 788-0008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200311001414 CA Part B Supplier - Clinic/Group Practice 3779911466 Receives reassigned benefits from 37 practitioners
Practice locations: Riverside, CA; Placentia, CA; Crestline, CA; Lake Arrowhead, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2223098Optima Health Corp3634 Elizabeth St, Riverside, CA 92506Certificate of waiverMay 3, 2027

National Provider Directory

National Provider Directory

Locations

3634 Elizabeth St
Riverside, CA 92506
Phone (951) 341-8930

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEGFAD

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1245892066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3634 ELIZABETH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062506",
            "telephone_number": "951-788-0008",
            "fax_number": "951-788-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 ELIZABETH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062506",
            "telephone_number": "951-788-0008",
            "fax_number": "951-788-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "SHAROBIEM",
        "authorized_official_first_name": "ANDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-412-1020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.