Active NPI
Acharya and Sharma Medical Corp.
- Internal Medicine Physician
- Orange, CA
National Provider Identifier
1578668067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ACHARYA AND SHARMA MEDICAL CORP.
- Practice address
- 1240 E Chapman Ave
Orange, CA 92866-2217 - Phone
- (714) 771-2800
- Fax
- (714) 771-3200
- NPI assigned
- Sep 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristina Mendoza
- Title
- Front Office
- Phone
- (714) 771-2800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1240 E Chapman Ave
Orange, CA 92866-2217
Mailing address
1240 E Chapman Ave
Orange, CA 92866-2217
Phone (714) 771-2800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0084220 | Medicaid | CA | |
| YYY50103Y | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0953923 | Acharya & Sharma Medical Corporation | Certificate of waiver | Jan 31, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Geriatric Medicine (Internal Medicine) Physician
- Orange, CA
- NPI 1770685521
-
- Internal Medicine Physician
- Orange, CA
- NPI 1134224611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1578668067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 E CHAPMAN AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662217",
"telephone_number": "714-771-2800",
"fax_number": "714-771-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 E CHAPMAN AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662217",
"telephone_number": "714-771-2800",
"fax_number": "714-771-3200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACHARYA AND SHARMA MEDICAL CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MENDOZA",
"authorized_official_first_name": "KRISTINA",
"authorized_official_title_or_position": "FRONT OFFICE",
"authorized_official_telephone_number": "714-771-2800"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0084220",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "YYY50103Y",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.