Healthcare Provider Details

I. General information

NPI: 1891532487
Provider Name (Legal Business Name): NITASHA KUMARI SHARMA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2024
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 INTERNATIONAL BLVD
OAKLAND CA
94601-2228
US

IV. Provider business mailing address

6475 CAMDEN AVE STE 107
SAN JOSE CA
95120-2847
US

V. Phone/Fax

Practice location:
  • Phone: 510-535-4410
  • Fax:
Mailing address:
  • Phone: 408-268-4900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95030842
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number95030842
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: