SHARP HEALTHCARE (NPI# 1629589858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629589858 |
| Entity Type | Organization |
| Organization Name | SHARP HEALTHCARE |
| Other Organization Name | SHARP KIDNEY AND PANCREAS TRANSPLANT CENTER |
| Practice Address |
8010 Frost St Ste 100 San Diego CA 92123-4222 |
| Mailing Address |
8695 Spectrum Center Blvd San Diego CA 92123-1489 |
| Practice Telephone | 8586505000 |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | CHRISTOPHER D. WILLIAMS (PRESIDENT & CEO SHARP HEALTHCARE) |
| Authorized Official Telephone | 8584994003 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHARP HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RT0003X |
Internal Medicine Specialization: Transplant Hepatology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sharp Kidney and Pancreas Transplant Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225662596 | Sharp Healthcare | Pharmacy | 8701 Cuyamaca Street, Santee, CA 92071 | 2020-02-26 |
| 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 |
| 1013368752 | Sharp Healthcare | General Practice | 230 Prospect Pl Ste 340b, Coronado, CA 92118-1991 | 2016-06-23 |
| 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 |
8010 FROST ST STE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-4222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 207RT0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Transplant Hepatology |
| An internist with special knowledge and the skill required of a gastroenterologist to care for patients prior to and following hepatic transplantation that spans all phases of liver transplantation. Selection of appropriate recipients requires assessment by a team having experience in evaluating the severity and prognosis of patients with liver disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992227227 | Saumya Jayakumar | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2017-07-07 |
| 1023301991 | Pranab M. Barman | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2011-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346583242 | Brian T Lee | Internal Medicine | 197 E Caroline St Ste 1400, San Bernardino, CA 92408-3731 | 2013-03-29 |
| 1215111232 | Brian Kim | Internal Medicine | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2007-12-27 |
Please comment or provide details below to improve the information on SHARP HEALTHCARE.
| 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.