Healthcare Provider Details

I. General information

NPI: 1821059890
Provider Name (Legal Business Name): SHARLENE PEREIRA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2006
Last Update Date: 10/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 TELEGRAPH AVE 2ND FLOOR
OAKLAND CA
94609-3210
US

IV. Provider business mailing address

1804 EMBARCADERO RD STE 100
PALO ALTO CA
94303-3341
US

V. Phone/Fax

Practice location:
  • Phone: 510-452-5231
  • Fax: 510-869-6679
Mailing address:
  • Phone: 650-497-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA80062
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: