Individual provider Active NPI

Sharona Yashar, MD

  • Dermatopathology (Pathology) Physician
  • Los Angeles, CA
National Provider Identifier
1982722815
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
A95389 Issued in CA
Practice address
10833 Le Conte Ave RM A7215Chs
Los Angeles, CA 90095
Phone
(310) 206-6594
Fax
(310) 267-2685
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A95389 CA
Anatomic Pathology Physician 207ZP0101X A95389 CA
Dermatopathology (Pathology) Physician 207ZD0900X A95389 CA Primary

Addresses

Primary practice location

10833 Le Conte Ave RM A7215Chs
Los Angeles, CA 90095

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

10627 Le Conte Ave
Los Angeles, CA 90024
Phone (818) 632-6388

Other identifiers 1

IdentifierTypeStateIssuer
00A953890MedicaidCA

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
I20080510000116 CA Practitioner - DermatologyPractitioner - Pathology 1456430859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
University of California, Geffen School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharona Yashar, MD IncGroup PAC ID 1456538883, 2 clinicians

Practice addresses (Care Compare)

9808 Venice Blvd
Suite 600
Culver City, CA 90232-6807
Phone (310) 513-4100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision37
Removal of skin lesions295
Skin biopsy109

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Dermatology CurrentSince Oct 31, 2010 Accepting new patients
Sharona Yashar, MD Inc Dermatology CurrentSince Apr 12, 2011 Accepting new patients
Regents of the University of California PastSince Sep 6, 2020 Accepting new patients
UC Regents Past Accepting new patients

Locations

9808 Venice Blvd
Ste 600
Culver City, CA 90232
Phone (310) 204-2300

9808 Venice Blvd
Ste 100
Culver City, CA 90232
Phone (310) 513-4100

10833 Le Conte Ave
Rm A7215CHS
Los Angeles, CA 90095
Phone (310) 206-6594

200 Medical Plz
Ste 465
Los Angeles, CA 90095
Phone (310) 825-5510

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

10833 Le Conte Ave
Ste AS370
Los Angeles, CA 90095
Phone (310) 267-2680

File 55737
Los Angeles, CA 90074

Organizations & group practices 4

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1982722815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE RM A7215CHS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90095",
            "telephone_number": "310-206-6594",
            "fax_number": "310-267-2685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10627 Le Conte Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90024",
            "country_code": "US",
            "telephone_number": "818-632-6388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YASHAR",
        "first_name": "SHARONA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A95389",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "A95389",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "CA",
            "license": "A95389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A953890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.