Kelly a. Sharrar, M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A93376 Issued in CA

Legal business name

KELLY A. SHARRAR, M.D.

Practice address

4981 Indian Peak Rd
Mariposa, CA 95338-9373

Phone

(209) 682-5228

Fax

(209) 682-5227

NPI assigned

Sep 19, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kelly A Sharrar, MD

Title

Physician/Owner

Phone

(209) 682-5228

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1558880757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2301",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953382301",
            "telephone_number": "209-682-5228",
            "fax_number": "209-682-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4981 INDIAN PEAK RD",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953389373",
            "telephone_number": "209-682-5228",
            "fax_number": "209-682-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY A. SHARRAR, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SHARRAR",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "209-682-5228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A93376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A93376",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine A Johnson
• Jerry D Johnson
• Angela Elizabeth Joji
• Ravinder R. Kadevari, M.D.
• Manpal Kaur
• Karleen Y Kentile
• Protiva Shooprova Khan, OD
• Bethany E Kindiger Evans
• Margarita L King, MSN, PHN, RN
• Jeremiah Jospeh Knight, LICENSED VOCATIONAL

• Primary Care Clinic/Center in Mariposa, CA
• Providers in Mariposa, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.