Active NPI
Sharon de Edwards MD Facog NCMP, Inc.
- Medical Specialty Clinic/Center
- Pittsburg, CA
National Provider Identifier
1356009104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- SHARON DE EDWARDS MD FACOG NCMP, INC.
- Practice address
- 2240 Gladstone Dr Ste 1
Pittsburg, CA 94565-5126 - Phone
- (925) 754-9961
- Fax
- (925) 754-1902
- NPI assigned
- Nov 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Fernando Anthony Edwards II, JD
- Title
- Administrator
- Phone
- (925) 788-4850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
2240 Gladstone Dr Ste 1
Pittsburg, CA 94565-5126
Mailing address
2240 Gladstone Dr Ste 1
Pittsburg, CA 94565-5126
Phone (925) 754-9961
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548295975 | Other | NPI | |
| CE655A | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Pittsburg, CA
- NPI 1548295975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638144000000",
"number": "1356009104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 GLADSTONE DR STE 1",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945655126",
"telephone_number": "925-754-9961",
"fax_number": "925-754-1902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 GLADSTONE DR STE 1",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945655126",
"telephone_number": "925-754-9961",
"fax_number": "925-754-1902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARON DE EDWARDS MD FACOG NCMP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-29",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "FERNANDO",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "925-788-4850",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "JD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1548295975",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CE655A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.