Healthcare Provider Details
I. General information
NPI: 1306701313
Provider Name (Legal Business Name): SHARIEF TARAMAN MD PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/22/2025
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5000 CAMPUS DR
NEWPORT BEACH CA
92660-2122
US
IV. Provider business mailing address
5000 CAMPUS DR
NEWPORT BEACH CA
92660-2122
US
V. Phone/Fax
- Phone: 949-236-7546
- Fax:
- Phone: 650-785-2624
- Fax: 650-785-2624
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080P0006X |
| Taxonomy | Developmental - Behavioral Pediatrics Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080P0008X |
| Taxonomy | Pediatric Neurodevelopmental Disabilities Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083C0008X |
| Taxonomy | Clinical Informatics Physician |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0402X |
| Taxonomy | Neurology with Special Qualifications in Child Neurology Physician |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0005X |
| Taxonomy | Neurodevelopmental Disabilities Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMANDA
PODACA
Title or Position: ACCESS MANAGER
Credential:
Phone: 562-201-0063