RADIANT PRIMARY CARE – NPI #1922212653
Clinic/Center

RADIANT PRIMARY CARE is an AHC clinic located in VICTORVILLE, CA. NPPES has assigned the NPI number 1922212653 to RADIANT PRIMARY CARE on May 10, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RADIANT PRIMARY CARE” is a dba name, the actual legal business name for this organization is ANUPAMA SHARMA MD INC. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 15 years ago on Sep 28, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RADIANT PRIMARY CARE below.

NPI Profile for
ANUPAMA SHARMA MD INC

NPI Number
1922212653
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ANUPAMA SHARMA MD INC
Doing Business As (dba): RADIANT PRIMARY CARE
Primary location
17259 JASMINE ST
SUITE B
VICTORVILLE, CA 92395-7787
Phone: (760) 241-4959 Fax: (760) 241-5950
Mailing address
PO BOX 1384
VICTORVILLE, CA 92393-1384
Phone: (760) 241-4929 Fax: (760) 241-5950
Organization Subpart
No
Authorized Official
ANUPAMA SHARMA
OWNER
Phone: (760) 241-4929
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.