Individual provider Active NPI

Sara K Sheriff, MD

  • Psychiatry Physician
  • Oakland, CA
National Provider Identifier
1891081535
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A112142 Issued in CA
Practice address
5767 Broadway Ste 101
Oakland, CA 94618-1589
Phone
(510) 999-5767
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A112142 CA Primary

Addresses

Primary practice location

5767 Broadway Ste 101
Oakland, CA 94618-1589

Mailing address

6125 Snake Rd
Oakland, CA 94611-2618
Phone (510) 999-5767

Other practice location 1

2702 Dana St
Berkeley, CA 94705-1136
Phone (510) 999-5767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 12, 2018 through Feb 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A112142CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sara Sheriff MD, Inc. Psychiatry CurrentSince Mar 19, 2023 Accepting new patients

Organizations & group practices 1

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891081535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 SNAKE RD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112618",
            "telephone_number": "510-999-5767",
            "fax_number": "682-219-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5767 BROADWAY STE 101",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181589",
            "telephone_number": "510-999-5767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2702 Dana St",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947051136",
            "country_code": "US",
            "telephone_number": "510-999-5767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERIFF",
        "first_name": "SARA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A112142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.