Sharon Renee Shaw

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

40420 Issued in CA

Practice address

390 40TH St
Oakland, CA 94609-2633

Phone

(510) 379-4179

NPI assigned

Oct 30, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1093684920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 VISTA GRANDE DR APT 1317",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318547",
            "telephone_number": "510-379-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 40TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092633",
            "telephone_number": "510-379-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "SHARON",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "40420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyalai A Shaw, SUDRC
• Maurice Shaw, LCSW
• Mykira Lnique Shaw, CNA
• Nan Shaw, LCSW
• Saudia Shaw
• Tara A. Shaw, MD
• Theodros Shawl, DC
• Lois Shawver, PH.D.
• Gregory F. Shay, MD
• Matine Shaygan, MFTI

• Licensed Psychiatric Technician in Oakland, CA
• Providers in Oakland, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.