Healthcare Provider Details

I. General information

NPI: 1508388166
Provider Name (Legal Business Name): SRISTI SHARMA M.D., M.P.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2017
Last Update Date: 09/27/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 HAYES ST STE 302
SAN FRANCISCO CA
94117-1078
US

IV. Provider business mailing address

4600 BROADWAY
SACRAMENTO CA
95820-1527
US

V. Phone/Fax

Practice location:
  • Phone: 415-379-2900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberA181038
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberTL0006930
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: