Provider Demographics
NPI:1245250695
Name:SARKARIA, JOHN A (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:A
Last Name:SARKARIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:14642 NEWPORT AVE
Mailing Address - Street 2:SUITE 450
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-6057
Mailing Address - Country:US
Mailing Address - Phone:714-669-4449
Mailing Address - Fax:714-669-4003
Practice Address - Street 1:14642 NEWPORT AVE
Practice Address - Street 2:SUITE 450
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-6057
Practice Address - Country:US
Practice Address - Phone:714-669-4449
Practice Address - Fax:714-669-4003
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG063280207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G632800Medicaid
CAE66248Medicare UPIN