Active NPI
Shivani Sharma, O.D.
- Optometrist
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34042TLG
- Practice address
- 38707 Stivers St
Fremont, CA 94536 - Phone
- (408) 533-5795
- NPI assigned
- Mar 27, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 34042TLG | CA | Primary |
Addresses
Primary practice location
38707 Stivers St
Fremont, CA 94536
Mailing address
38707 Stivers St
Fremont, CA 94536-5337
Phone (408) 533-5795
Other practice location 1
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Phone (310) 478-3711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Boston St
Seattle, WA 98109-2319
Phone (206) 282-8120
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34042TLG | CA | MD | Optometrist |
| 34042 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neda Moshasha OD Inc | Optometrist | Current | Accepting new patients |
| Eric Bergstrom OD, PLLC | Optometrist | Current | Accepting new patients |
| HMB Optometric Group LLC | Optometrist | Past | Accepting new patients |
Locations
80 Cabrillo Hwy N
Ste J
Half Moon Bay, CA 94019
Phone (650) 726-3937
6618 Roosevelt Way NE
Seattle, WA 98115
Phone (206) 282-8120
20 Boston St
Seattle, WA 98109
Phone (206) 282-8120
Interoperability endpoints
- shivani@fre1423.srs-direct.com
Organizations & group practices 3
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.
-
- Optometrist
- Seattle, WA
- NPI 1124289897
-
- Optometrist
- Half Moon Bay, CA
- NPI 1568872927
-
- Optometrist
- Half Moon Bay, CA
- NPI 1861839862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1992200323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38707 STIVERS ST",
"city": "FREMONT",
"state": "CA",
"postal_code": "945365337",
"telephone_number": "408-533-5795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38707 STIVERS ST",
"city": "FREMONT",
"state": "CA",
"postal_code": "94536",
"telephone_number": "408-533-5795"
}
],
"practiceLocations": [
{
"address_1": "11301 Wilshire Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900731003",
"country_code": "US",
"telephone_number": "310-478-3711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARMA",
"first_name": "SHIVANI",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-27",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34042TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.