Individual provider Active NPI

Vinod Sharma, M.D.

  • Psychiatry Physician
  • San Pablo, CA
National Provider Identifier
1629264049
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A 101192 Issued in CA
Practice address
2523 El Portal Dr
Suite 103
San Pablo, CA 94806-3305
Phone
(510) 215-3730
NPI assigned
Sep 19, 2007
Last updated
Jan 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A 101192 CA Primary

Addresses

Primary practice location

2523 El Portal Dr
Suite 103
San Pablo, CA 94806-3305

Mailing address

2523 El Portal Dr
Suite 103
San Pablo, CA 94806-3305
Phone (510) 215-3730

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
I20110721000654 CA Practitioner - Psychiatry 6204004096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Contra Costa CountyGroup PAC ID 8628052974, 74 clinicians

Practice addresses (Care Compare)

2523 El Portal Dr
Suite 101
San Pablo, CA 94806-3305
Phone (510) 215-3730

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A 101192CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Contra Costa County Current Accepting new patients
Contra Costa County CurrentSince Nov 28, 2010 Accepting new patients
Contra Costa County CurrentSince Nov 28, 2010 Accepting new patients

Locations

13585 San Pablo Ave
Fl 2
San Pablo, CA 94806
Phone (510) 942-4700

2523 El Portal Dr
Ste 101
San Pablo, CA 94806
Phone (510) 215-3700

2523 El Portal Dr
Ste 103
San Pablo, CA 94806
Phone (510) 215-3730

2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1629264049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 EL PORTAL DR",
            "address_2": "SUITE 103",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063305",
            "telephone_number": "510-215-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 EL PORTAL DR",
            "address_2": "SUITE 103",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063305",
            "telephone_number": "510-215-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "VINOD",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A 101192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pablo, CA

Sources for this page

Verify at the official NPI Registry.