Active NPI
Atul Sharma, MD.
- Internal Medicine Physician
- Mission Hills, CA
National Provider Identifier
1497869192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A53642
- Practice address
- 11333 Sepulveda Blvd
Mission Hills, CA 91345-1116 - Phone
- (818) 837-5740
- Fax
- (818) 837-5741
- NPI assigned
- Aug 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A53642 | CA | Primary |
Addresses
Primary practice location
11333 Sepulveda Blvd
Mission Hills, CA 91345-1116
Mailing address
PO Box 9602
Mission Hills, CA 91346-9602
Phone (818) 837-5637
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A536420 | Medicaid | CA |
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
- General Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
39115 Trade Ctr Dr
Palmdale, CA 93551-3649
Phone (661) 273-0100
44469 10TH St W
Lancaster, CA 93534-3324
Phone (661) 945-9411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A53642 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Medical Group Holding Company, Inc. | Internal Medicine | Current | Accepting new patients |
| Providence Facey Medical Foundation | Past | Accepting new patients |
Locations
44469 10th St W
Lancaster, CA 93534
Phone (661) 945-9411
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Lancaster, CA
- NPI 1780832972
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1891348447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1497869192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9602",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913469602",
"telephone_number": "818-837-5637",
"fax_number": "818-837-5589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11333 SEPULVEDA BLVD",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913451116",
"telephone_number": "818-837-5740",
"fax_number": "818-837-5741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "ATUL",
"credential": "MD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A53642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A536420",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mission Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.