Organization Active NPI

Sherman Don MD Inc

  • Otolaryngology Physician
  • Huntington Beach, CA
National Provider Identifier
1518999309
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G13732 Issued in CA
Legal business name
SHERMAN DON MD INC
Practice address
17732 Beach Blvd Ste C
Huntington Beach, CA 92647-6881
Phone
(714) 557-6364
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Sherman Don, MDNPI 1316139280
Title
President
Phone
(714) 557-6364

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
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X G13732 CA Primary

Addresses

Primary practice location

17732 Beach Blvd Ste C
Huntington Beach, CA 92647-6881

Mailing address

11100 Warner Avenue
# 308
Fountain Valley, CA 92708
Phone (714) 557-6364

Other identifiers 1

IdentifierTypeStateIssuer
00G137320MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080118000562 CA Part B Supplier - Clinic/Group Practice 9436230190 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington Beach, CA

National Provider Directory

National Provider Directory

Locations

11100 Warner Ave
Ste 308
Fountain Vly, CA 92708
Phone (714) 557-6364

17732 Beach Blvd
Ste C
Huntington Beach, CA 92647
Phone (714) 557-6364

17822 Beach Blvd
Ste 166
Huntington Beach, CA 92647
Phone (714) 557-6364

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": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1518999309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVENUE",
            "address_2": "# 308",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-557-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17732 BEACH BLVD STE C",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476881",
            "telephone_number": "714-557-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMAN DON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "DON",
        "authorized_official_first_name": "SHERMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-557-6364",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G13732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G137320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.