Shararah Aziz

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95011605 Issued in CA

Practice address

1700 Standiford Ave
Modesto, CA 95350-6534

Phone

(209) 676-3069

NPI assigned

Dec 19, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of California, San Francisco School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mark David Levine MD Professional CorporationGroup PAC ID 0143478305, 165 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mark David Levine M.D. Professional Corporation

  • Psychiatry Physician
  • Sacramento, CA
  • NPI 1154697944

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Hiawatha Harris, M.D., Inc.

  • Mental Health Counselor
  • Oakland, CA
  • NPI 1942420724
  Medicare reassignment NPD
• Hiawatha Harris, Corporation

  • Clinical Child & Adolescent Psychologist
  • Martinez, CA
  • NPI 1407063936
  NPD
• Mark David Levine, MD Burlingame PC

  • Psychiatry Physician
  • San Mateo, CA
  • NPI 1770709263
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1023524691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 STANDIFORD AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506534",
            "telephone_number": "209-676-3069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1614 Gloria Cir",
            "address_purpose": "LOCATION",
            "city": "Tracy",
            "state": "CA",
            "postal_code": "953777205",
            "country_code": "US",
            "telephone_number": "415-509-7657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZIZ",
        "first_name": "SHARARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95011605",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95011605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Azevedo Reis
• Adriana Azevedo, HS DIPLOMA
• Jennifer K Azevedo, RDA, OSA
• Jerome M Azevedo, RN
• Jessica Azevedo
• Joyce Noreen Celis Aznar-Lester, RN
• Lesly Stephanie Azonos
• B & B Pharmacy Services LLC
• Nasim Babaidorabad, M.D.
• Malia Nicole Babasa

• Psychiatric/Mental Health Nurse Practitioner in Modesto, CA
• Providers in Modesto, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.