Individual provider Active NPI

Jabir Rahman Sharif, M.D.

  • Nephrology Physician
  • Inglewood, CA
National Provider Identifier
1497736938
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G53277 Issued in CA
Practice address
4632 W Century Blvd
Ste a
Inglewood, CA 90304-1454
Phone
(310) 419-4616
Fax
(310) 419-4756
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X G53277 CA Primary

Addresses

Primary practice location

4632 W Century Blvd
Ste a
Inglewood, CA 90304-1454

Mailing address

1131 Via Sebastian
San Pedro, CA 90732-2310
Phone (310) 419-4616

Other identifiers 1

IdentifierTypeStateIssuer
00G532770MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G53277CAMDNephrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1497736938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 VIA SEBASTIAN",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907322310",
            "telephone_number": "310-419-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4632 W CENTURY BLVD",
            "address_2": "STE A",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903041454",
            "telephone_number": "310-419-4616",
            "fax_number": "310-419-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIF",
        "first_name": "JABIR",
        "middle_name": "RAHMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G53277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G532770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.