NPIMap

Organization Active NPI

Michael P Sherman MD PHD, a Medical Corporation

  • Hematology & Oncology Physician
  • Walnut Creek, CA
National Provider Identifier
1831201912
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G83108 Issued in CA
Legal business name
MICHAEL P SHERMAN MD PHD, A MEDICAL CORPORATION
Practice address
500 Lennon LN
Walnut Creek, CA 94598-2415
Phone
(925) 939-9610
Fax
(925) 939-9839
NPI assigned
Aug 31, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Michael Paul Sherman, MDNPI 1164643359
Title
Owner
Phone
(925) 939-9610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 63

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 63

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20050304000741 CA Part B Supplier - Clinic/Group Practice 9537113212 Receives reassigned benefits from 60 practitioners
Practice locations: Danville, CA; Walnut Creek, CA
O20110114000470 CA DME Supplier - Physician - Unknown Physician Specialty 9537113212 Practice locations: Walnut Creek, CA

National Provider Directory

National Provider Directory

Locations

110 La Casa Via
Ste 210
Walnut Creek, CA 94598
Phone (925) 935-5290

1210 Rossmoor Pkwy
Walnut Creek, CA 94595
Phone (925) 299-9022

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X G83108 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

500 Lennon LN
Walnut Creek, CA 94598-2415

Mailing address

500 Lennon LN
Walnut Creek, CA 94598-2415
Phone (925) 939-9610

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
ZZZ32812ZOtherCAMEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 23, 2014.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1831201912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LENNON LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982415",
            "telephone_number": "925-939-9610",
            "fax_number": "925-939-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LENNON LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982415",
            "telephone_number": "925-939-9610",
            "fax_number": "925-939-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P SHERMAN MD PHD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-939-9610",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G83108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ZZZ32812Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.