Organization Active NPI

Jyothi Sarma MD

  • Internal Medicine Physician
  • Pleasanton, CA
National Provider Identifier
1366725947
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A37640 Issued in CA
Legal business name
JYOTHI SARMA MD
Practice address
5720 Stoneridge Mall Road
Suite 260
Pleasanton, CA 94588-2830
Phone
(925) 463-2918
Fax
(925) 463-2919
NPI assigned
Sep 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Dr. Jyothi Sarma, M.D.NPI 1700882727
Title
President
Phone
(925) 463-2918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A37640 CA Primary

Addresses

Primary practice location

5720 Stoneridge Mall Road
Suite 260
Pleasanton, CA 94588-2830

Mailing address

5720 Stoneridge Mall Rd
Suite 260
Pleasanton, CA 94588-2830
Phone (925) 463-2918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120111000374 CA Part B Supplier - Clinic/Group Practice 9032386248 Receives reassigned benefits from 1 practitioner
Practice locations: Alamo, CA

National Provider Directory

National Provider Directory

Locations

5720 Stoneridge Mall Rd
Ste 260
Pleasanton, CA 94588
Phone (408) 396-4720

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": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1366725947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 STONERIDGE MALL RD",
            "address_2": "SUITE 260",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882830",
            "telephone_number": "925-463-2918",
            "fax_number": "925-463-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 STONERIDGE MALL ROAD",
            "address_2": "SUITE 260",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882830",
            "telephone_number": "925-463-2918",
            "fax_number": "925-463-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JYOTHI SARMA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "SARMA",
        "authorized_official_first_name": "JYOTHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-463-2918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A37640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.