Healthcare Provider Details

I. General information

NPI: 1548455843
Provider Name (Legal Business Name): LUNA SHARMA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2007
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 NUT TREE RD STE 210
VACAVILLE CA
95687-4656
US

IV. Provider business mailing address

600 NUT TREE RD STE 210
VACAVILLE CA
95687-4656
US

V. Phone/Fax

Practice location:
  • Phone: 707-359-1800
  • Fax:
Mailing address:
  • Phone: 707-350-1800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number01067454A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: