Organization Active NPI

Jabir Rahman Sharif, M.D., Inc.

  • Nephrology Physician
  • Inglewood, CA
National Provider Identifier
1306123252
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G53277 Issued in CA
Legal business name
JABIR RAHMAN SHARIF, M.D., INC.
Practice address
4632 W Century Blvd Ste a
Inglewood, CA 90304-1454
Phone
(310) 419-4616
NPI assigned
Nov 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Authorized official

Name
Dr. Jabir Rahman Sharif, M.D.
Title
Medical Doctor/Owner
Phone
(310) 419-4616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X G53277 CA Primary

Addresses

Primary practice location

4632 W Century Blvd Ste a
Inglewood, CA 90304-1454

Mailing address

1131 Via Sebastian
San Pedro, CA 90732-2310
Phone (310) 419-4616

National Provider Directory

National Provider Directory

Locations

4632 W Century Blvd
Ste A
Inglewood, CA 90304
Phone (310) 419-4616

NPI Registry JSON

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1306123252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 VIA SEBASTIAN",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907322310",
            "telephone_number": "310-419-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4632 W CENTURY BLVD STE A",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903041454",
            "telephone_number": "310-419-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JABIR RAHMAN SHARIF, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "SHARIF",
        "authorized_official_first_name": "JABIR",
        "authorized_official_middle_name": "RAHMAN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/OWNER",
        "authorized_official_telephone_number": "310-419-4616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G53277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.