Organization Active NPI

Praveena Sarma MD Medical Corp

  • Infectious Disease Physician
  • Tracy, CA
National Provider Identifier
1285716357
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A61533 Issued in CA
Legal business name
PRAVEENA SARMA MD MEDICAL CORP
Practice address
652 W 11TH St Ste 137
Tracy, CA 95376-3869
Phone
(209) 362-5539
Fax
(888) 228-7108
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Praveena N Sarma, MDNPI 1194793182
Title
President
Phone
(209) 833-0998

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
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X A61533 CA Primary

Addresses

Primary practice location

652 W 11TH St Ste 137
Tracy, CA 95376-3869

Mailing address

652 W 11TH St Ste 137
Tracy, CA 95376-3869
Phone (209) 362-5539

Other identifiers 1

IdentifierTypeStateIssuer
00A615331MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141028000873 CA Part B Supplier - Clinic/Group Practice 7810118254 Receives reassigned benefits from 1 practitioner
Practice locations: Dublin, CA; Tracy, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1285716357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 W 11TH ST STE 137",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763869",
            "telephone_number": "209-362-5539",
            "fax_number": "888-228-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 W 11TH ST STE 137",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763869",
            "telephone_number": "209-362-5539",
            "fax_number": "888-228-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAVEENA SARMA MD MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SARMA",
        "authorized_official_first_name": "PRAVEENA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-833-0998",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A61533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A615331",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.