Individual provider Active NPI

Sheryl Laurissa Recinos, MD

  • Family Medicine Physician
  • Lancaster, CA
National Provider Identifier
1629483417
Registry record updated Jul 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A144280 Issued in CA
Practice address
1600 W Avenue J
Lancaster, CA 93534-2894
Phone
(661) 726-6260
NPI assigned
Jul 1, 2014
Last updated
Jul 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2021

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 A144280 CA Primary

Addresses

Primary practice location

1600 W Avenue J
Lancaster, CA 93534-2894

Mailing address

PO Box 802665
Santa Clarita, CA 91380-2665
Phone (661) 367-0040

Other practice location 1

26520 Cactus Ave
Family Medicine Department
Moreno Valley, CA 92555-3927
Phone (951) 486-5593

Other practice location 2

2105 Forest Ave
San Jose, CA 95128-1471
Phone (408) 947-2500

Other names 1

  • Sheryl Laurissa Brown Former name

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
I20180807002924 CA Practitioner - Family PracticePractitioner - Hospitalist 0547518599 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians
Quantum Healthcare Medical Associates IncGroup PAC ID 5294647574, 109 clinicians
Farallon Inpatient Medical Group IncGroup PAC ID 2567715550, 9 clinicians

Practice addresses (Care Compare)

225 N Jackson Ave
San Jose, CA 95116-1603
Phone (888) 334-1000

300 Hospital Dr
Vallejo, CA 94589-2574
Phone (707) 554-4444

5176 Hill Rd E
Lakeport, CA 95453-6300
Phone (925) 634-9704

751 S Bascom Ave
San Jose, CA 95128-2604

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A144280CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Farallon Inpatient Medical Group Inc CurrentSince Jan 1, 2025 Accepting new patients
Beaver Medical Group P C CurrentSince May 1, 2022 Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine CurrentSince Jan 31, 2026 Accepting new patients
Horizon Multicare Group Inc CurrentSince Jun 10, 2018 Accepting new patients
Beaver Medical Group P C Family Medicine CurrentSince May 1, 2022 Accepting new patients
County of Santa Clara Current Accepting new patients
Superior Hospitalist Medical Group Inc Family Medicine CurrentSince Jan 15, 2022 Accepting new patients
County of Santa Clara CurrentSince Aug 9, 2021 Accepting new patients
County of Santa Clara CurrentSince Aug 9, 2021 Accepting new patients
San Francisco Emergency Medical Associates PastSince Mar 12, 2024 Accepting new patients

Locations

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

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

2 W Fern Ave
Redlands, CA 92373
Phone (909) 786-0725

2 W Fern Ave
#1112
Redlands, CA 92373

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

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

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

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

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

19197 Golden Valley Rd
Santa Clarita, CA 91387
Phone (800) 820-7813

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

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

Interoperability endpoints

  • Direct secure messaging: srecinos176783@santaclaravalley.direct-ci.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627689600000",
    "number": "1629483417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802665",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913802665",
            "telephone_number": "661-367-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342894",
            "telephone_number": "661-726-6260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26520 Cactus Ave",
            "address_2": "FAMILY MEDICINE DEPARTMENT",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925553927",
            "country_code": "US",
            "telephone_number": "951-486-5593",
            "fax_number": "951-486-5595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2105 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951281471",
            "country_code": "US",
            "telephone_number": "408-947-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RECINOS",
        "first_name": "SHERYL",
        "middle_name": "LAURISSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2021-07-31",
        "certification_date": "2021-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A144280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERYL",
            "last_name": "BROWN",
            "middle_name": "LAURISSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.