Individual provider Active NPI

Abdullah Sharaf, M.D

  • Pediatrics Physician
  • Corona, CA
National Provider Identifier
1891145850
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301110540 Issued in MI
Practice address
900 S Main St Ste 108
Corona, CA 92882-3401
Phone
(951) 734-5450
Fax
(951) 734-6009
NPI assigned
Jun 20, 2016
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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 4301110540 MI Primary

Addresses

Primary practice location

900 S Main St Ste 108
Corona, CA 92882-3401

Mailing address

15900 Ellington Way
Chino Hills, CA 91709-7965
Phone (517) 944-4880

Other practice location 1

901 E Mount Hope Ave
Lansing, MI 48910-3207
Phone (517) 267-3400

Other practice location 2

760 W Franklin St # 49201
Jackson, MI 49201-2048
Phone (517) 205-2700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asharaf599662@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301110540MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sushil Anand & Associates Medical Corp Pediatrics Past Accepting new patients
Audrey Reid and Associates,a Medical Group,Inc Pediatrics Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1891145850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 ELLINGTON WAY",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917097965",
            "telephone_number": "517-944-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S MAIN ST STE 108",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823401",
            "telephone_number": "951-734-5450",
            "fax_number": "951-734-6009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 E Mount Hope Ave",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489103207",
            "country_code": "US",
            "telephone_number": "517-267-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "760 W Franklin St # 49201",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492012048",
            "country_code": "US",
            "telephone_number": "517-205-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARAF",
        "first_name": "ABDULLAH",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301110540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asharaf599662@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "760 W Franklin St # 49201",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492012048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.