Individual provider Active NPI

Sheryl Coloma Militar, MD, MS, FAAP

  • Pediatrics Physician
  • San Ramon, CA
National Provider Identifier
1629249065
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A125183 Issued in CA
Practice address
5401 Norris Canyon Rd
Suite 304 - Tri Valley Pediatrics
San Ramon, CA 94583-5409
Phone
(925) 380-6230
NPI assigned
Mar 13, 2008
Last updated
Nov 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD 60178649 WA
Pediatrics Physician 208000000X A125183 CA Primary

Addresses

Primary practice location

5401 Norris Canyon Rd
Suite 304 - Tri Valley Pediatrics
San Ramon, CA 94583-5409

Mailing address

339 Gerald Cir
Milpitas, CA 95035-8917
Phone (310) 408-3394

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
I20140110000639 CA Practitioner - Pediatric Medicine 1456589878 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A125183CAMDPediatrics Physician
MD 60178649WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LPCH Medical Group Div of Lucile Pediatrics CurrentSince Dec 1, 2013 Accepting new patients

Locations

2299 Mowry Ave
Ste 2A
Fremont, CA 94538
Phone (510) 796-3498

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1629249065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 GERALD CIR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950358917",
            "telephone_number": "310-408-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 NORRIS CANYON RD",
            "address_2": "SUITE 304 - TRI VALLEY PEDIATRICS",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835409",
            "telephone_number": "925-380-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILITAR",
        "first_name": "SHERYL",
        "middle_name": "COLOMA",
        "credential": "MD, MS, FAAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD 60178649",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A125183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.