Organization Active NPI

Jon R. Sherman MD., Inc

  • Specialist
  • Fullerton, CA
National Provider Identifier
1497949184
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A49871 Issued in CA
Legal business name
JON R. SHERMAN MD., INC
Practice address
1400 N Harbor Blvd
Suite 100
Fullerton, CA 92835-4126
Phone
(714) 578-0533
Fax
(714) 578-0548
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Dr. Jon R Sherman, MD
Title
Owner
Phone
(714) 578-0533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A49871 CA Primary

Addresses

Primary practice location

1400 N Harbor Blvd
Suite 100
Fullerton, CA 92835-4126

Mailing address

PO Box 5664
Fullerton, CA 92838-0664
Phone (714) 578-0533

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1497949184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5664",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928380664",
            "telephone_number": "714-578-0533",
            "fax_number": "714-578-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N HARBOR BLVD",
            "address_2": "SUITE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354126",
            "telephone_number": "714-578-0533",
            "fax_number": "714-578-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON R. SHERMAN MD., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-578-0533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A49871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.