SHARMA MEDICAL GROUP, INC. NPI 1053663435

Specialist in Wasco, CA

NPI 1053663435 Organization Specialist CLIA Number 05D2051806 CLIA Certificate of Waiver

About SHARMA MEDICAL GROUP, INC.

Sharma Medical Group, Inc. is a provider established in Wasco, California specializing in specialist. The NPI number of Sharma Medical Group, Inc. is 1053663435 and was assigned on October 2012. The practitioner's primary taxonomy code is 174400000X with license number A725320 (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. Sharma Medical Group, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Rahul Sharma Md (Medical Director)

The CLIA number of Sharma Medical Group, Inc. is 05D2051806 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Sharma Medical Group, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1053663435

Provider NameSHARMA MEDICAL GROUP, INC.
Provider Location Address1217 7TH ST WASCO, CA 93280
Provider Mailing Address11900 HARRINGTON ST BAKERSFIELD, CA 93311
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-09-2012
Last Update Date10-09-2012


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.A725320
License StateCA
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

SHARMA MEDICAL GROUP, INC.
1217 7TH ST
WASCO, CA
ZIP 93280
Phone: (661) 758-5500

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Mailing Address

SHARMA MEDICAL GROUP, INC.
11900 HARRINGTON ST
BAKERSFIELD, CA
ZIP 93311
Phone: (661) 758-5500



Authorized Official

Authorized Official Name RAHUL SHARMA MD
Authorized Official TitleMEDICAL DIRECTOR
Authorized Official Phone(661) 725-2512

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1053663435 is:

CLIA Number05D2051806
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
123456OTHER (01)CA

Other Providers at the same location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801942875 VERONICA ANN HINOJOSA
Individual
Counselor (Mental Health)1217 7TH ST
WASCO, CA 93280
(661) 758-4029
1174679146 CITLA INEZ VAZQUEZ
Individual
Counselor (Mental Health)1217 7TH ST
WASCO, CA 93280
(661) 758-4029
1164578191 DINA D ALDACO
Individual
Counselor (Mental Health)1217 7TH ST
WASCO, CA 93280
(661) 758-4029
1093861965MS. CHARLOTTE L EVANS MFT
Individual
Specialist1217 7TH ST
WASCO, CA 93280
(661) 758-4029
1447306881 JESUS BESERRA
Individual
Counselor1217 7TH ST
WASCO, CA 93280
(661) 758-4029
1740336999MR. EUGENE RAYMOND WOOD M.F.T.
Individual
Marriage & Family Therapist1217 7TH ST
WASCO, CA 93280
(661) 758-0891
1417086497 MONICA MILLIGAN
Individual
Case Manager/Care Coordinator1217 7TH ST
WASCO, CA 93280
(661) 758-4029
1386828408 MARTHA VARGAS
Individual
Counselor (Mental Health)1217 7TH ST
WASCO, CA 93280
(166) 175-8402
1235370693 ANNA KATHERINE BOEHNING B.A. PSYCHOLOGY
Individual
Counselor (Mental Health)1217 7TH ST
WASCO, CA 93280
(661) 758-4029
1265673404COLLEGE COMMUNITY SERVICES
Organization
Case Management1217 7TH ST
WASCO, CA 93280
(661) 758-4029
1760715981MISS FELICIA LYNN SCHOEPFER MSW
Individual
Counselor (Mental Health)1217 7TH ST
WASCO, CA 93280
(661) 758-4029
1881925014 MELISSA JOY JOHNSTON LVN
Individual
Counselor (Mental Health)1217 7TH ST
WASCO, CA 93280
(661) 758-4029
1740591544 MARIA L RODRIGUEZ
Individual
Counselor (Mental Health)1217 7TH ST
WASCO, CA 93280
(661) 758-4029
1336119684DR. RUDY B HERRERA DC, FNP
Individual
Nurse Practitioner (Family)1217 7TH ST
WASCO, CA 93280
(661) 725-5500
1073103057GOOD SAMARITAN HOSPITAL CA LTD PTP
Organization
Clinic/Center (Rural Health)1217 7TH ST
WASCO, CA 93280
(661) 215-7721
1619552189GOOD SAMARITAN HOSPITAL CA LTD PTP
Organization
Clinic/Center (Rural Health)1217 7TH ST
WASCO, CA 93280
(661) 758-5500

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.