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Sharon L Basham

  • Female

Medical Specialty

Professional ID

  • NPI: 1104842541
  • PECOS ID: 3971676230
  • Enrollment ID: I20100605000124
  • Credential(MD, DO, DPM):
  • Medical School: Chicago College Of Medicine And Surgery
  • Medical School Graduation Year: 1994

Hospital Service

  • Hospital CCN1: 050396
  • Business Name (LBN)1: Santa Barbara Cottage Hospital
  • Hospital CCN2: 050357
  • Business Name (LBN)2: Goleta Valley Cottage Hospital
  • Hospital CCN3: 050107
  • Business Name (LBN)3: Marian Regional Medical Center

Medical Practices

  • Organization Name: Central Coast Physical Medicine And Rehabilitation Medical Group Inc.
  • Group Practice ID assigned by PECOS: 1951473529
  • Number of Group Practice member: 3

Location

  • Address1: 2320 Bath St
  • Address2: Suite 315
  • City: Santa Barbara
  • State: California
  • Zip Code: 93105
  • Phone Number: (805)569-8922

Location

  • Address1: 2415 De La Vina St
  • Address2:
  • City: Santa Barbara
  • State: California
  • Zip Code: 93105
  • Phone Number: (805)569-8922

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):