Individual provider Active NPI

Shashi Sharma, M.D.

  • Family Medicine Physician
  • Fremont, CA
National Provider Identifier
1619088036
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A44662 Issued in CA
Practice address
2333 Mowry Ave Ste 300
Fremont, CA 94538-1626
Phone
(510) 796-0222
Fax
(510) 796-7760
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A44662 CA Primary

Addresses

Primary practice location

2333 Mowry Ave Ste 300
Fremont, CA 94538-1626

Mailing address

2333 Mowry Ave Ste 300
Fremont, CA 94538-1626
Phone (510) 796-0222

Other identifiers 1

IdentifierTypeStateIssuer
00A446620MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080722000428 CA Practitioner - Family Practice 9133292360 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A44662CAMDFamily Medicine Physician
A44340CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Apr 9, 2020 Accepting new patients
California Cardiovascular Consultants Medical Associates CurrentSince Oct 1, 2023 Accepting new patients
Verity Medical Foundation CurrentSince Apr 1, 2012 Accepting new patients
County of Santa Clara CurrentSince Apr 9, 2020 Accepting new patients
California Cardiovascular Consultants Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
County of Santa Clara CurrentSince Apr 9, 2020 Accepting new patients
DCHS Medical Foundation Family Medicine CurrentSince Apr 1, 2012 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Apr 9, 2020 Accepting new patients
County of Santa Clara Family Medicine Current Accepting new patients

Locations

2333 Mowry Ave
Ste 300
Fremont, CA 94538
Phone (510) 670-1111

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

25455 Medical Center Dr
Ste 200
Murrieta, CA 92562
Phone (951) 894-7056

6250 Thornton Ave
Newark, CA 94560
Phone (510) 791-1798

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

400 Race St
San Jose, CA 95126

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

227 N Jackson Ave
San Jose, CA 95116
Phone (408) 278-3003

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1619088036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MOWRY AVE STE 300",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381626",
            "telephone_number": "510-796-0222",
            "fax_number": "510-796-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MOWRY AVE STE 300",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381626",
            "telephone_number": "510-796-0222",
            "fax_number": "510-796-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "SHASHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A44662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A446620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.