MEDICARE: JAYANTI SHARMA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1952938243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYANTI SHARMA

Provider Business Mailing Address
First Line	:	2632 WILSHIRE BLVD APT 793
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-4623
Country	:	US
Telephone Number	:	310-592-6177
Fax Number	:

Provider Business Practice Location Address
First Line	:	2632 WILSHIRE BLVD APT 793
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-4623
Country	:	US
Telephone Number	:	310-592-6177
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2020
Last Update Date	:	09/15/2025

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Directions to “ JAYANTI SHARMA ” Practice Location

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