SHARP HEALTHCARE (NPI# 1013368752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013368752 |
| Entity Type | Organization |
| Organization Name | SHARP HEALTHCARE |
| Other Organization Name | SHARPCARE MEDICAL GROUP |
| Practice Address |
230 Prospect Pl Ste 340b Coronado CA 92118-1991 |
| Mailing Address |
8695 Spectrum Center Blvd San Diego CA 92123-1489 |
| Practice Telephone | 6195224000 |
| Practice Fax Number | 6194350150 |
| Mailing Telephone | 8584993025 |
| Mailing Fax Number | 8584994738 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2020-02-25 |
| Authorized Official Name | CHRISTOPHER D. HOWARD (CEO & PRESIDENT) |
| Authorized Official Telephone | 8584994003 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHARP HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | 95-1193 | 01 |
| Other Name | Type Code |
|---|---|
| SharpCare | Doing Business As Name - Organization |
| SharpCare Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225662596 | Sharp Healthcare | Pharmacy | 8701 Cuyamaca Street, Santee, CA 92071 | 2020-02-26 |
| 1629589858 | Sharp Healthcare | Internal Medicine | 8010 Frost St Ste 100, San Diego, CA 92123-4222 | 2017-10-16 |
| 1285089037 | Sharp Healthcare | Clinic/Center | 7947 Birmingham Dr, San Diego, CA 92123-2704 | 2016-04-29 |
| 1194050708 | Sharp Healthcare | Specialist | 8990 Miramar Road, 275, San Diego, CA 92126 | 2009-10-15 |
| 1801863329 | Sharp Healthcare | Clinical Medical Laboratory | 8010 Frost Street, 2nd Floor, San Diego, CA 92123-4284 | 2006-03-02 |
| 1780283341 | Sharp Healthcare | Clinic/Center | 5651 Copley Dr, San Diego, CA 92111-7903 | 2020-10-23 |
| 1275096521 | Sharp Healthcare | Clinical Medical Laboratory | 2020 Genesee Ave, San Diego, CA 92123-4219 | 2019-04-12 |
| 1023507506 | Sharp Healthcare | Clinical Medical Laboratory | 5651 Copley Dr, San Diego, CA 92111-7903 | 2018-05-09 |
| 1477977932 | Sharp Healthcare | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8010 Frost St, Suite 408, San Diego, CA 92123-2778 | 2014-02-04 |
| 1326481417 | Sharp Healthcare | Clinical Medical Laboratory | 300 Fir St, San Diego, CA 92101-2327 | 2013-04-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SHARP HEALTHCARE FOUNDATION | 8695 Spectrum Center Blvd, San Diego, CA 92123-1489 |
| Street Address |
230 PROSPECT PL STE 340B |
| City | CORONADO |
| State | CA |
| Zip Code | 92118-1991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053381004 | Neal Patrick Ridge | Family Medicine | 230 Prospect Pl Ste 340b, Coronado, CA 92118-1991 | 2006-01-24 |
| 1891290383 | Rebecca Dillen | Nurse Practitioner | 230 Prospect Pl Ste 340b, Coronado, CA 92118-1991 | 2018-03-27 |
| 1508266727 | Gregory Hammett | Internal Medicine | 230 Prospect Pl Ste 340b, Coronado, CA 92118-1991 | 2014-08-25 |
| 1528330495 | Lindsay Olson Mack | Nurse Practitioner | 230 Prospect Pl Ste 340b, Coronado, CA 92118-1991 | 2012-02-07 |
| 1538479753 | Lynn D Berger | Registered Nurse | 230 Prospect Pl Ste 340b, Coronado, CA 92118 | 2010-10-21 |
| 1689837742 | Jenny Wong | Family Medicine | 230 Prospect Pl Ste 340b, Coronado, CA 92118-1991 | 2008-07-08 |
| 1538213277 | Sadaf Ilyas | Physician Assistant | 230 Prospect Pl Ste 340b, Coronado, CA 92118-1991 | 2007-01-22 |
| 1144384678 | Rosalind Fenton | Nurse Practitioner | 230 Prospect Pl Ste 340b, Coronado, CA 92118-1991 | 2006-12-20 |
| 1982783379 | Kenneth Warm | Family Medicine | 230 Prospect Pl Ste 340b, Coronado, CA 92118-1991 | 2006-11-04 |
| 1548343999 | Coronado Medical Group, Inc. | Family Medicine | 230 Prospect Pl Ste 340b, Coronado, CA 92118-1991 | 2006-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962997643 | Natalie Bailey | Dentist | 1010 8th St Ste A, Coronado, CA 92118 | 2018-06-26 |
| 1639661143 | Rebecca L. Frazier | Acupuncturist | 543 Orange Ave., Coronado, CA 92118 | 2018-05-31 |
| 1376046201 | Laura Mead Clapper | Pediatrics | 840 Adella Ave, Coronado, CA 92118 | 2018-03-16 |
| 1154836336 | Sarah R Peck | Occupational Therapy Assistant | 1530 Da Nang Dr Apt C, Coronado, CA 92118 | 2017-12-09 |
| 1962921395 | Jennifer Waidelich | Physical Therapist | 410 E Ave, Coronado, CA 92118 | 2017-09-18 |
| 1861843641 | Cliff Lovick I | Counselor | 1522 Frist St. Apt M 106, Coronada, CA 92118 | 2016-06-23 |
| 1184004871 | Melanie Villalobos | Dentist | 1001 B Ave #313, Coronado, CA 92118 | 2015-06-08 |
| 1801273479 | Jacqueline Brogan | Dermatology | 230 Prospect Pl Ste 260, Coronado, CA 92118 | 2015-05-02 |
| 1790184083 | Robert Cole Dunlap | Optometrist | 810 J Avenue, Coronado, CA 92118 | 2014-08-22 |
| 1235493602 | Jin Ah | Acupuncturist | 2425 Camino De Rio South, Suite 180, San Diego, CA 92118 | 2012-06-29 |
| Find all providers in zip 92118 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174604953 | Patrick R Yassini M D Inc | General Practice | 131 Orange Ave, #100, Coronado, CA 92118-1408 | 2006-10-18 |
| 1740260793 | Michael Vince | General Practice | 601 Mccain Blvd, Bmc North Island, Coronado, CA 92135 | 2006-01-17 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.