Individual provider Active NPI

Sheila Asare-Bediako, M.D.

  • Pediatrics Physician
  • Elk Grove, CA
National Provider Identifier
1730317355
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A116985 Issued in CA
Practice address
8220 Wymark Dr Ste 200
Elk Grove, CA 95757-6298
Phone
(916) 667-0600
Fax
(916) 683-0232
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A116985 CA Primary

Addresses

Primary practice location

8220 Wymark Dr Ste 200
Elk Grove, CA 95757-6298

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956
Phone (916) 379-2726

Other practice location 1

8110 Laguna Blvd
Elk Grove, CA 95758-8094
Phone (916) 683-3955

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
I20180221002067 CA Practitioner - Pediatric Medicine 5890056568 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Feb 5, 2018 Accepting new patients
Dignity Health Medical Foundation CurrentSince Feb 5, 2018 Accepting new patients
Dignity Health Past Accepting new patients
Dignity Community Care Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients

Locations

8220 Wymark Dr
Ste 200
Elk Grove, CA 95757
Phone (916) 667-0600

8259 Laguna Blvd
Ste 100
Elk Grove, CA 95758
Phone (916) 691-8570

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

3980 Douglas Blvd
Ste 110
Roseville, CA 95661
Phone (916) 293-4400

3000 Q St
Fl 2
Sacramento, CA 95816
Phone (916) 733-3323

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1730317355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956",
            "telephone_number": "916-379-2726",
            "fax_number": "916-853-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 WYMARK DR STE 200",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957576298",
            "telephone_number": "916-667-0600",
            "fax_number": "916-683-0232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8110 Laguna Blvd",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "957588094",
            "country_code": "US",
            "telephone_number": "916-683-3955",
            "fax_number": "916-683-3970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASARE-BEDIAKO",
        "first_name": "SHEILA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A116985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.