Active NPI
Annu G Sharma, MD
- Pediatrics Physician
- Irvine, CA
National Provider Identifier
1255387668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A43676
- Practice address
- 15785 Laguna Canyon Rd
Suite 215
Irvine, CA 92618-3165 - Phone
- (949) 753-0901
- Fax
- (949) 753-7443
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A43676 | CA | Primary |
Addresses
Primary practice location
15785 Laguna Canyon Rd
Suite 215
Irvine, CA 92618-3165
Mailing address
15785 Laguna Canyon Rd
Suite 215
Irvine, CA 92618-3165
Phone (949) 753-0901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A436760 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43676 | CA | MD | Periodontist |
| A43676 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients | |
| Children'S Hospital of Orange County | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Children's Hospital
- Orange, CA
- NPI 1811080526
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301356800000",
"number": "1255387668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15785 LAGUNA CANYON RD",
"address_2": "SUITE 215",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183165",
"telephone_number": "949-753-0901",
"fax_number": "949-753-7443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15785 LAGUNA CANYON RD",
"address_2": "SUITE 215",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183165",
"telephone_number": "949-753-0901",
"fax_number": "949-753-7443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "ANNU",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2011-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A43676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A436760",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.