Active NPI
Anita M. Sharma, M.D.
- Pediatric Gastroenterology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- A196203
- Practice address
- 3030 Childrens Way
San Diego, CA 92123-4232 - Phone
- (858) 966-4003
- NPI assigned
- Apr 11, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A196203 | CA | |
| Pediatric Gastroenterology Physician | 2080P0206X | 4301504362 | MI | |
| Pediatric Gastroenterology Physician | 2080P0206X | A196203 | CA | Primary |
Addresses
Primary practice location
3030 Childrens Way
San Diego, CA 92123-4232
Mailing address
3020 Childrens Way # Mc5003
San Diego, CA 92123-4223
Phone (858) 309-6300
Other names 1
- Anita Rao
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A196203 | CA | MD | Pediatrics Physician |
| 4301504362 | MI | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rady Children's Hospital San Diego | Current | Accepting new patients | |
| Regents of the University of Michigan | Pediatrics | Current | Accepting new patients |
| Regents of the University of Michigan | Pediatrics | Current | Accepting new patients |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Rady Children's Hospital San Diego | Pediatrics | Current | Accepting new patients |
| Marilyn Kaufhold, M.D., a Medical Corporation | Past | Accepting new patients |
Locations
25170 Hancock Ave
Murrieta, CA 92562
Phone (858) 757-3277
3020 Childrens Way
San Diego, CA 92123
Phone (858) 966-5841
3020 Childrens Way
#5003
San Diego, CA 92123
Phone (858) 309-6300
3030 Childrens Way
San Diego, CA 92123
Phone (858) 966-4003
1500 E Medical Center Dr
Spc 5718
Ann Arbor, MI 48109
Phone (734) 763-5589
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
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.
-
dba Rady Children's Specialists of San Diego, A Medical Foundation
- Pediatrics Physician
- San Diego, CA
- NPI 1669617197
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1205868353
Pediatrics
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- San Diego, CA
- NPI 1851303994
-
- Pediatric Gastroenterology Physician
- Ann Arbor, MI
- NPI 1346274933
Pediatrics
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
- Children's Hospital
- San Diego, CA
- NPI 1336359389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1871989335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 CHILDRENS WAY # MC5003",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234223",
"telephone_number": "858-309-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 CHILDRENS WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234232",
"telephone_number": "858-966-4003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "ANITA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-11",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A196203",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "MI",
"license": "4301504362",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "CA",
"license": "A196203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANITA",
"last_name": "RAO",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.