Become a contracted provider

Learn how to enroll in Sharp Health Plan’s provider network.

Since 1992, Sharp Health Plan has helped make life better for the San Diego community. We're the largest locally-based commercial health plan, providing coverage for individuals, families, and businesses of all shapes and sizes. Plus, after being selected to participate in Covered California’s individual marketplace, Sharp Health Plan is serving more people than ever.

Contracting with Sharp Health Plan

If you’re interested in being part of the Sharp Health Plan network, you may contract independently or through a contracted medical group. We require all physicians to get credentialed before becoming a contracted provider. This process involves collecting and verifying your professional qualifications to ensure the highest level of safety and care for our members.

Credentialing considers factors such as 

  • Relevant training
  • Licensure
  • Certification
  • Registration to practice in a health care field
  • Practice site and medical record-keeping


Getting certified, licensed, and registered

All contracted providers must have 

  • Board certification or proof of residency completion in your practice specialty
  • A current California medical license
  • A current, unrestricted Drug Enforcement Agency (DEA) registration number, if applicable
  • A restriction-free record with the Medical Board of California

Setting up hospital privileges

To join our provider network, you must have admitting privileges at a Sharp Health Plan-contracted hospital. Exceptions may be allowed if you don’t normally have admitting privileges or if you’ve made arrangements with other Sharp Health Plan-credentialed physicians to admit members on their behalf.

Provider coverage and professional liability insurance

Sharp Health Plan requires contracted providers to offer round-the-clock coverage for all Plan members with another participating or on-call physician who agrees to follow our guidelines, too. You also must have professional liability insurance of at least $1 million per occurrence and $3 million annual aggregate.

Interested in becoming a contracted network provider or need more information? Contact our provider relations team.