Samir Sharma (NPI# 1508966508, PAC ID# 3476537218) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1508966508 |
| PAC ID by PECOS | 3476537218 |
| Professional Enrollment ID | I20040617000835 |
| Full Name | Samir Sharma |
| Organization Legal Name | SOUTH BAY ORTHOPEDIC AND SPORTS MEDICINE CLINIC, INC |
| Address |
221 E Hacienda Ave Suite D Campbell CA 95008-6625 |
| Phone Number | 4083763380 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 6901974351 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050308 | EL CAMINO HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 221 E Hacienda Ave, Suite D, Campbell, CA 95008-6625 | 4083763380 | SOUTH BAY ORTHOPEDIC AND SPORTS MEDICINE CLINIC, INC |
| Organization Legal Name | SOUTH BAY ORTHOPEDIC AND SPORTS MEDICINE CLINIC, INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kavita H Sharma | Internal Medicine | South Bay Orthopedic and Sports Medicine Clinic, Inc | 221 E Hacienda Ave, Suite D, Campbell, CA 95008-6625 |
| Venkat Aachi | Physical Medicine and Rehabilitation | South Bay Orthopedic and Sports Medicine Clinic, Inc | 221 E Hacienda Ave, Suite D, Campbell, CA 95008-6625 |
| Street Address |
221 E HACIENDA AVE SUITE D |
| City | CAMPBELL |
| State | CA |
| Zip | 95008-6625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Butcher | Orthopedic Surgery | Arthritis and Orthopedic Medical Clinic | 221 E Hacienda Ave, Suite A, Campbell, CA 95008-6625 |
| Daljeet S Sagoo | Orthopedic Surgery | Arthritis and Orthopedic Medical Clinic | 221 E Hacienda Ave, Suite A, Campbell, CA 95008-6625 |
| Daniel F Haber | Orthopedic Surgery | 221 E Hacienda Ave, Suite C, Campbell, CA 95008-6625 | |
| Svetlana Dani | Sports Medicine | Bay Area Surgical Specialists Inc A Medical Corporation | 221 E Hacienda Ave, Suite B, Campbell, CA 95008-6625 |
| Robert G Aptekar | Orthopedic Surgery | Arthritis and Orthopedic Medical Clinic | 221 E Hacienda Ave, Suite A, Campbell, CA 95008-6625 |
| Shelley M Mcdonald | Physical Medicine and Rehabilitation | Bay Area Surgical Specialists Inc A Medical Corporation | 221 E Hacienda Ave, Suite B, Campbell, CA 95008-6625 |
| Kavita H Sharma | Internal Medicine | South Bay Orthopedic and Sports Medicine Clinic, Inc | 221 E Hacienda Ave, Suite D, Campbell, CA 95008-6625 |
| Venkat Aachi | Physical Medicine and Rehabilitation | South Bay Orthopedic and Sports Medicine Clinic, Inc | 221 E Hacienda Ave, Suite D, Campbell, CA 95008-6625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melody L Lynd | Plastic and Reconstructive Surgery | 80 E Hamilton Ave, Campbell, CA 95008-0204 | |
| Jennifer Strangis | Physical Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Jared M Mason | Physical Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Sandra Deryke | Physical Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Allison Lorraine Keneally | Physical Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Sarah E Christiansen | Physical Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Michelle Regoli | Occupational Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Jennifer Jones | Physical Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Kanchan Anjaneya Thakar | Physical Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Albert Tailon Chang | Optometry | Peter W Ross Od and Larry K Wan Od Inc | 338 E Hamilton Ave, Campbell, CA 95008-0207 |
| Find all physicians in zip 95008 | |||
| City | CAMPBELL |
| Zip Code | 95008 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | CAMPBELL + ORTHOPEDIC SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.