Individual provider Active NPI

Shiela Chua NG, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Citrus Heights, CA
National Provider Identifier
1073268405
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95023889 Issued in CA
Practice address
5959 Greenback LN Ste 500
Citrus Heights, CA 95621-4700
Phone
(916) 737-5555
NPI assigned
Feb 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95023889 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95023889 CA Primary

Addresses

Primary practice location

5959 Greenback LN Ste 500
Citrus Heights, CA 95621-4700

Mailing address

777 12TH St Ste 250
Sacramento, CA 95814-1929
Phone (916) 469-4690

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230920003939 CA Practitioner - Nurse Practitioner 2567816812 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95023889CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspace Health CurrentSince Sep 1, 2023 Accepting new patients
Wellspace Health CurrentSince Sep 1, 2023 Accepting new patients
Medi Psych Services Inc CurrentSince Mar 8, 2025 Accepting new patients
Wellspace Health Past Accepting new patients

Locations

5959 Greenback Ln
Ste 500
Citrus Heights, CA 95621
Phone (916) 725-1177

777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690

1820 J St
Sacramento, CA 95811
Phone (916) 550-5481

15260 Ventura Blvd
Ste 1200
Sherman Oaks, CA 91403
Phone (310) 871-0670

Interoperability endpoints

  • Direct secure messaging: sng769601@direct.ochin.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1073268405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 12TH ST STE 250",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958141929",
            "telephone_number": "916-469-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 GREENBACK LN STE 500",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956214700",
            "telephone_number": "916-737-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "SHIELA",
        "middle_name": "CHUA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023889",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95023889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

Verify at the official NPI Registry.