Individual provider Active NPI

Abdulkareem Sharaf, MD

  • Cardiovascular Disease Physician
  • Fountain Valley, CA
National Provider Identifier
1720344880
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A160053 Issued in CA
Practice address
11100 Warner Ave Ste 354
Fountain Valley, CA 92708-7513
Phone
(714) 912-0047
Fax
(714) 912-0087
NPI assigned
Apr 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A160053 CA
Interventional Cardiology Physician 207RI0011X A160053 CA
Cardiovascular Disease Physician 207RC0000X A160053 CA Primary

Addresses

Primary practice location

11100 Warner Ave Ste 354
Fountain Valley, CA 92708-7513

Mailing address

11100 Warner Ave Ste 354
Fountain Valley, CA 92708-7513
Phone (714) 912-0047

Other identifiers 1

IdentifierTypeStateIssuer
A160053MedicaidCA

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
I20190808004123 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 5395045173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharaf MDGroup PAC ID 4385073659, 2 clinicians

Practice addresses (Care Compare)

11100 Warner Ave
Suite 354
Fountain Valley, CA 92708-7513
Phone (714) 912-0047

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Coastal Communities Hospital Hospital, Santa Ana, CA, CCN 050747
  • Orange County Global Medical Center Hospital, Santa Ana, CA, CCN 050746
  • Foothill Regional Medical Center Hospital, Tustin, CA, CCN 050780
  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A160053CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharaf MD Cardiovascular Disease CurrentSince Feb 20, 2020 Accepting new patients
Zynova Health Cardiovascular Disease Current Accepting new patients
Modern Nuclear, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
Alta Newport Hospital, LLC Past Accepting new patients

Locations

10840 Warner Ave
Ste 103
Fountain Valley, CA 92708
Phone (714) 395-4595

11100 Warner Ave
Ste 354
Fountain Vly, CA 92708
Phone (714) 549-9927

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: asharaf442243@direct.hfhs.org

Organizations & group practices 6

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

Hospital & facility affiliations 6

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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1720344880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 354",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087513",
            "telephone_number": "714-912-0047",
            "fax_number": "714-912-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 354",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087513",
            "telephone_number": "714-912-0047",
            "fax_number": "714-912-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARAF",
        "first_name": "ABDULKAREEM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A160053",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A160053",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A160053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A160053",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.