Individual provider Active NPI

Sanjiv Sharma, MD

  • Cardiovascular Disease Physician
  • Bakersfield, CA
National Provider Identifier
1336342138
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A56149 Issued in CA
Practice address
2901 Sillect Ave
Suite 100
Bakersfield, CA 93308-6370
Phone
(661) 323-8384
Fax
(661) 864-1279
NPI assigned
Jun 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A56149 CA Primary

Addresses

Primary practice location

2901 Sillect Ave
Suite 100
Bakersfield, CA 93308-6370

Mailing address

PO Box 1139
Bakersfield, CA 93302-1139
Phone (661) 323-8384

Other identifiers 3

IdentifierTypeStateIssuer
953511288OtherCATAX ID
060061071OtherCARAILROAD MEDICARE
00A561491OtherCAPTAN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080102000685 CA Practitioner - Cardiovascular Disease (Cardiology) 6709966765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centric HealthGroup PAC ID 8729009030, 66 clinicians

Practice addresses (Care Compare)

100 Old River Rd
Suite 120
Bakersfield, CA 93311-8823
Phone (661) 323-8384

2901 Sillect Ave
Bakersfield, CA 93308-6372

Hospital & facility affiliations

  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
  • Bakersfield Memorial Hospital Hospital, Bakersfield, CA, CCN 050036
  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057
  • Kern Valley Healthcare District Hospital, Lake Isabella, CA, CCN 051314

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Centric Health CurrentSince May 29, 1996 Accepting new patients
Kern Valley Healthcare District CurrentSince Nov 24, 2013 Accepting new patients
Centric Health Cardiovascular Disease CurrentSince May 29, 1996 Accepting new patients
Kern Valley Healthcare District CurrentSince Nov 24, 2013 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
San Joaquin Community Hospital Past Accepting new patients

Locations

2110 Truxtun Ave
Bakersfield, CA 93301
Phone (310) 855-3417

2901 Sillect Ave
Ste 100
Bakersfield, CA 93308
Phone (805) 323-8384

6412 Laurel Ave
Mountain Mesa, CA 93240
Phone (760) 379-2681

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/kernvh-26e64ef3

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1336342138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1139",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021139",
            "telephone_number": "661-323-8384",
            "fax_number": "661-323-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 SILLECT AVE",
            "address_2": "SUITE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086370",
            "telephone_number": "661-323-8384",
            "fax_number": "661-864-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "SANJIV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A56149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "953511288",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060061071",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "00A561491",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.