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SHARPCARE MEDICAL GROUP APC NPI 1730521568


NPI Information

NPI: 1730521568
Provider Name: SHARPCARE MEDICAL GROUP, APC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D2118880

Address:
230 PROSPECT PLACE
SUITE 340-B
CORONADO, CA
ZIP 92118
Phone: (619) 522-4000
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SHARPCARE MEDICAL GROUP, APC is a family medicine in Coronado, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SHARPCARE MEDICAL GROUP, APC NPI is 1730521568. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

230 PROSPECT PLACE
SUITE 340-B
CORONADO, CA
ZIP 92118
Phone: (619) 522-4000
Fax: (619) 435-0150

The provider's authorized official is Kenneth Roth .
The authorized official title is President and has the following contact phone number (858) 541-0181.

The CLIA number assigned to this NPI record is 05D2118880 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2013 and was last updated on 11/4/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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