After submitting this form, the change will be effective on the first day of the following month. You should receive a Sharp Health Plan member ID card with your updated provider information 5 to 7 business days before the effective date.
If you have any questions or need immediate assistance, please contact our Customer Care team at 1-858-499-8300 or toll-free at 1-800-359-2002, from 8 am to 6 pm, Monday through Friday.
Please note, if you are choosing a primary care physician (PCP) in a different plan medical group — for example, you are switching from a doctor in Sharp Rees-Stealy to a doctor in the Sharp Community Medical Group — your current referrals
or prior authorizations for specialists, special supplies or equipment will be voided. You must ask your new PCP for new referrals or prior authorizations.
Search for a doctor
Be sure to make note of the doctor’s 10-digit Provider NPI. This ID number is required to complete the form.
* required field
You can find this on your ID card or by logging in to Sharp Connect.
This 10-digit ID number can be found in the provider search results. Select the Search for a Doctor button above.
If different from above
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