Individual provider Active NPI

Nishita Trewn Sharma, RN, FNP

  • Nurse Practitioner
  • Concord, CA
National Provider Identifier
1104290501
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95002465 Issued in CA
Practice address
2095 Diamond Blvd Ste B150
Concord, CA 94520-5832
Phone
(800) 972-5547
NPI assigned
Nov 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 843999 CA
Family Nurse Practitioner 363LF0000X NP95002465 CA
Nurse Practitioner 363L00000X NP95002465 CA Primary

Addresses

Primary practice location

2095 Diamond Blvd Ste B150
Concord, CA 94520-5832

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (800) 972-5547

Other practice location 1

770 Mason St Fl 2
Vacaville, CA 95688-4646
Phone (800) 250-3208

Other practice location 2

3918 Fallon Rd
Dublin, CA 94568-4276
Phone (800) 972-5547

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
I20160121001019 CA Practitioner - Nurse Practitioner 1850694019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

2055 Town Ctr PLZ
Suite G130
West Sacramento, CA 95691-5058
Phone (916) 887-7471

2060 Harbison Dr
Suite D
Vacaville, CA 95687-3907
Phone (800) 972-5547

2702 Low CT
Fairfield, CA 94534-9771
Phone (707) 432-2600

2720 Low CT
Fairfield, CA 94534-9771
Phone (707) 428-2731

2800 L St
Sacramento, CA 95816-5616

3918 Fallon Rd
Dublin, CA 94568-4276
Phone (650) 934-3542

4647 2ND St
Suite 130
Davis, CA 95618-9419
Phone (800) 972-5547

815 Court St
Jackson, CA 95642-2154

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
843999CAMDFamily Nurse Practitioner
NP95002465CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation CurrentSince May 28, 2024 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 25, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 25, 2017 Accepting new patients
Solano Regional Medical Group, Inc. Nurse Practitioner Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Sutter West Bay Medical Foundation PastSince Jun 7, 2020 Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations

2095 Diamond Blvd
Ste B150
Concord, CA 94520
Phone (925) 483-9907

3918 Fallon Rd
Dublin, CA 94568
Phone (510) 498-3900

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174

795 El Camino Real
#1112
Palo Alto, CA 94301

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

4010 Foothills Blvd
Ste 102
Roseville, CA 95747
Phone (916) 689-4111

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

240 King St
Ste G2
San Francisco, CA 94107
Phone (415) 600-2420

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

2128 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 425-0727

131 Stony Cir
Ste 1600
Santa Rosa, CA 95401
Phone (707) 541-7700

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

770 Mason St
Fl 2
Vacaville, CA 95688
Phone (800) 250-3208

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Interoperability endpoints

  • Direct secure messaging: ntrewn319017@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1104290501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "800-972-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 DIAMOND BLVD STE B150",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205832",
            "telephone_number": "800-972-5547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Mason St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956884646",
            "country_code": "US",
            "telephone_number": "800-250-3208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3918 Fallon Rd",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "CA",
            "postal_code": "945684276",
            "country_code": "US",
            "telephone_number": "800-972-5547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "NISHITA",
        "middle_name": "TREWN",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "843999",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95002465",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95002465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.