Organization Active NPI

SBMD Medical Corporation Inc

  • Internal Medicine Physician
  • Anaheim, CA
National Provider Identifier
1689457574
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SBMD MEDICAL CORPORATION INC
Practice address
565 S Motif St
Anaheim, CA 92805-4749
Phone
(714) 400-9992
NPI assigned
Aug 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Sharma L Bishop, MD
Title
Owner
Phone
(347) 553-9247

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

565 S Motif St
Anaheim, CA 92805-4749

Mailing address

2034 E Lincoln Ave Ste 408
Anaheim, CA 92806-4101
Phone (714) 400-9992

National Provider Directory

National Provider Directory

Locations

2034 E Lincoln Ave
Anaheim, CA 92806
Phone (714) 400-9992

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1689457574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 E LINCOLN AVE STE 408",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928064101",
            "telephone_number": "714-400-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 S MOTIF ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054749",
            "telephone_number": "714-400-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SBMD MEDICAL CORPORATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "SHARMA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-553-9247",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.