South Bay Orthopedic and Sports Medicine Clinic, Inc.
NPI 1467548297ActiveOrganization· Orthopaedic Surgery, Sports Medicine· San Jose, CA
Orthopaedic Surgery, Sports Medicine in San Jose, California, registered in NPPES in October 2006. The authorized official on file is Samir Sharma, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1467548297 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 5, 2006 |
| Last updated in NPPES | Jan 18, 2023 |
| Certified by provider | Jan 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Sports Medicine Primary | 207XX0005X | H27947 | CA |
| Physical Medicine & Rehabilitation | 208100000X | A85279 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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