Active NPI
Sherman Medical Group Inc
- Nephrology Physician
- Glendale, CA
National Provider Identifier
1710186549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- G36479
- Legal business name
- SHERMAN MEDICAL GROUP INC
- Practice address
- 1510 S Central Ave
Glendale, CA 91204-2500 - Phone
- (818) 244-3200
- NPI assigned
- Jul 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Sherman, MD
- Title
- Ceo
- Phone
- (818) 244-9200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | G36479 | CA | Primary |
Addresses
Primary practice location
1510 S Central Ave
Glendale, CA 91204-2500
Mailing address
1510 S Central Ave
Suite 640
Glendale, CA 91204-2500
Phone (818) 244-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G364790 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Glendale, CA
- NPI 1235164294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416268800000",
"number": "1710186549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 S CENTRAL AVE",
"address_2": "SUITE 640",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042500",
"telephone_number": "818-244-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 S CENTRAL AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042500",
"telephone_number": "818-244-3200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERMAN MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-12",
"last_updated": "2014-11-18",
"status": "A",
"authorized_official_last_name": "SHERMAN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-244-9200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "G36479",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G364790",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
- Shepards Way Inc.
- Sher Institute for Reproductive Medicine Los Angeles Medical Group CHI
- Sher Institute for Reproductive Medicine Los Angeles Medical Group Inc
- Sherif M El-Harazi MD Inc
- Sherman Infusion Services Inc
- David Sherman, M.D.
- Evgeniya Sheveleva
- Terry Shiao, DPM
- Carl Scott Shibata, MD
- Payman Shilian, PHARM. D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.