Individual provider Active NPI

Miriam Sherif, PA-C

  • Physician Assistant
  • Campbell, CA
National Provider Identifier
1255083069
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1760 S Bascom Ave Ste 140
Campbell, CA 95008-0638
Phone
(408) 214-9732
NPI assigned
Jan 23, 2022
Last updated
Apr 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1760 S Bascom Ave Ste 140
Campbell, CA 95008-0638

Mailing address

1760 S Bascom Ave Ste 140
Campbell, CA 95008-0638
Phone (408) 728-9888

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
I20231020001469 CA Practitioner - Physician Assistant 6901288737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carbon Health Primary Care of California PCGroup PAC ID 8628350626, 22 clinicians

Practice addresses (Care Compare)

1411 Berryessa Rd
Suite 30
San Jose, CA 95133-1014
Phone (408) 785-6344

1760 S Bascom Ave
Suite 140
Campbell, CA 95008-0638
Phone (408) 214-9732

5120 Cherry Ave
Suite 20
San Jose, CA 95118-3786
Phone (408) 780-2532

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of California PC CurrentSince Dec 1, 2023 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jul 1, 2022 Accepting new patients

Locations

2690 5th St
Ste B
Alameda, CA 94501
Phone (510) 439-9447

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 329-3727

1760 S Bascom Ave
Ste 140
Campbell, CA 95008
Phone (408) 214-9732

303 Corte Madera Town Ctr
Corte Madera, CA 94925
Phone (415) 840-8615

2580 W El Camino Real
Ste 6
Mountain View, CA 94040
Phone (650) 265-4166

401 Grand Ave
#1112
Oakland, CA 94610
Phone (800) 756-4206

5120 Cherry Ave
Ste 20
San Jose, CA 95118
Phone (408) 780-2532

46 Hillsdale Mall
San Mateo, CA 94403
Phone (650) 769-5612

2712 Augustine Dr
Santa Clara, CA 95054

2712 Augustine Dr
Ste 120
Santa Clara, CA 95054
Phone (408) 780-2542

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: msherif300795@direct.phhs.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1642896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745625600000",
    "number": "1255083069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 S BASCOM AVE STE 140",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080638",
            "telephone_number": "408-728-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 S BASCOM AVE STE 140",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080638",
            "telephone_number": "408-214-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIF",
        "first_name": "MIRIAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-23",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.