Provider Demographics
NPI:1851015945
Name:SHARMA, YOGITA
Entity Type:Individual
Prefix:
First Name:YOGITA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 KLAMT CT
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-9278
Mailing Address - Country:US
Mailing Address - Phone:530-682-2122
Mailing Address - Fax:
Practice Address - Street 1:1251 STABLER LN
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-2616
Practice Address - Country:US
Practice Address - Phone:530-418-0500
Practice Address - Fax:530-755-9961
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA693054164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA985044923OtherUNITED HEALTH CARE