Organization Active NPI

Sharon de Edwards MD Facog NCMP, Inc.

  • Medical Specialty Clinic/Center
  • Pittsburg, CA
National Provider Identifier
1356009104
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
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

Updated by the provider on Nov 29, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1548295975OtherNPI
CE655AMedicaidCA

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": "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.

Verify at the official NPI Registry.