Individual provider Active NPI

Sharlene Pereira, MD

  • Pediatrics Physician
  • Oakland, CA
National Provider Identifier
1821059890
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A80062 Issued in CA
Practice address
3100 Telegraph Ave
2ND Floor
Oakland, CA 94609-3210
Phone
(510) 452-5231
Fax
(510) 869-6679
NPI assigned
Mar 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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 A80062 CA Primary

Addresses

Primary practice location

3100 Telegraph Ave
2ND Floor
Oakland, CA 94609-3210

Mailing address

1804 Embarcadero Rd
Ste 100
Palo Alto, CA 94303-3341
Phone (650) 497-8000

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
I20040324001763 CA Practitioner - Pediatric Medicine 5092607283 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
LPCH Medical Group Div of Lucile Pediatrics CurrentSince Apr 28, 2013 Accepting new patients
Bayside Medical Group, Inc Pediatrics Past Accepting new patients

Locations

1359 Park Ave
Alameda, CA 94501
Phone (510) 523-8162

2915 Telegraph Ave
Ste 200
Berkeley, CA 94705
Phone (510) 647-0893

2915 Telegraph Ave
Ste 101
Berkeley, CA 94705
Phone (510) 843-4544

1134 Murrieta Blvd
Livermore, CA 94550
Phone (925) 449-7795

3100 Telegraph Ave
Fl 2
Oakland, CA 94609
Phone (510) 452-5231

3100 Telegraph Ave
Ste 2103
Oakland, CA 94609
Phone (510) 452-5231

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

2160 Appian Way
Ste 100
Pinole, CA 94564
Phone (510) 724-8300

5720 Stoneridge Mall Rd
Ste 240
Pleasanton, CA 94588
Phone (925) 463-1234

4598 S Tracy Blvd
Ste 110
Tracy, CA 95377
Phone (209) 835-8551

1776 Ygnacio Valley Rd
Ste 100
Walnut Creek, CA 94598
Phone (925) 933-4383

Interoperability endpoints

  • Direct secure messaging: sharlene.pereira.1@12454.direct.athenahealth.com

Organizations & group practices 2

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1821059890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 EMBARCADERO RD",
            "address_2": "STE 100",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033341",
            "telephone_number": "650-497-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 TELEGRAPH AVE",
            "address_2": "2ND FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093210",
            "telephone_number": "510-452-5231",
            "fax_number": "510-869-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "SHARLENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A80062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.