Active NPI
Rahul Sharma, D.O.
- Vascular Surgery Physician
- Laguna Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 20A14623
- Practice address
- 24411 Health Center Dr Ste 350
Laguna Hills, CA 92653-3687 - Phone
- (949) 457-7900
- Fax
- (949) 588-8719
- NPI assigned
- May 23, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5101019285 | MI | |
| Vascular Surgery Physician | 2086S0129X | 20A14623 | CA | Primary |
Addresses
Primary practice location
24411 Health Center Dr Ste 350
Laguna Hills, CA 92653-3687
Mailing address
24411 Health Center Dr Ste 350
Laguna Hills, CA 92653-3687
Phone (949) 457-7900
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24411 Health Ctr Dr
Suite 350
Laguna Hills, CA 92653-3687
Phone (949) 457-7900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.77 of 100
- Quality
- 70.41
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 79.95
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 25 |
| Leg revascularization (restoring blood flow) | 28 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A14623 | CA | MD | Vascular Surgery Physician |
| 14623 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Foundation | Surgery | Current | Accepting new patients |
| South Orange County Surgical Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Mission Hospital Regional Medical Center | Past | Accepting new patients | |
| Saddleback Memorial Medical Center | Past | Accepting new patients |
Locations
24411 Health Center Dr
Ste 350
Laguna Hills, CA 92653
Phone (949) 457-7900
27799 Medical Center Rd
Ste 440
Mission Viejo, CA 92691
Phone (949) 364-1007
1601 Avocado Ave
Newport Beach, CA 92660
Phone (949) 763-2204
209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- rahul.sharma.1@12518.direct.athenahealth.com
- https://api.platform.athenahealth.com/12518/brand/2/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Surgery Physician
- Laguna Hills, CA
- NPI 1407860844
-
- Rehabilitation Hospital
- Mission Viejo, CA
- NPI 1003956913
-
- Rehabilitation Hospital Unit
- Laguna Hills, CA
- NPI 1114967114
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1912108002
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1992752315
-
- General Acute Care Hospital
- Laguna Hills, CA
- NPI 1275576381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1356634489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24411 HEALTH CENTER DR STE 350",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533687",
"telephone_number": "949-457-7900",
"fax_number": "949-588-8719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24411 HEALTH CENTER DR STE 350",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533687",
"telephone_number": "949-457-7900",
"fax_number": "949-588-8719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "RAHUL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-23",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "5101019285",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "20A14623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.