Individual provider Active NPI

Shaleena Ismail Sajwani

  • Occupational Health Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1184112609
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Nurse PractitionerTaxonomy code 363LX0106X
License
95008646 Issued in CA
Practice address
3000 Q St FL 3
Sacramento, CA 95816
Phone
(916) 733-3400
Fax
(916) 733-5384
NPI assigned
Apr 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Nurse Practitioner 363LX0106X 95008646 CA Primary

Addresses

Primary practice location

3000 Q St FL 3
Sacramento, CA 95816

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Other practice location 1

4700 Northgate Blvd Ste 100
Sacramento, CA 95834-1149
Phone (404) 488-3216

Other practice location 2

4700 Northgate Blvd Ste 100
Sacramento, CA 95834-1149
Phone (404) 488-3216

Other practice location 3

248 Buttercup Ct
Napa, CA 94559-3580
Phone (404) 488-3216

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
I20190422002485 CA Practitioner - Nurse Practitioner 8729320809 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95008646CAMDOccupational Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group, Inc CurrentSince Feb 27, 2023 Accepting new patients
Wellspace Health Current Accepting new patients
Wellspace Health CurrentSince Mar 21, 2022 Accepting new patients
Permanente Medical Group Inc CurrentSince Feb 27, 2023 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Infusion Express of California Inc CurrentSince Sep 12, 2023 Accepting new patients
Wellspace Health CurrentSince Mar 21, 2022 Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

2425 Alhambra Blvd
Sacramento, CA 95817
Phone (916) 313-8400

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

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

2433 Marconi Ave
Sacramento, CA 95821
Phone (916) 313-8455

1650 Response Rd
Sacramento, CA 95815
Phone (916) 614-4040

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

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

66 Bovet Rd
Ste 105
San Mateo, CA 94402
Phone (510) 992-4114

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

717 E El Camino Real
Ste 5
Sunnyvale, CA 94087
Phone (408) 228-3700

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Interoperability endpoints

  • Direct secure messaging: ssajwani468500@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": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1184112609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 Q ST FL 3",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95816",
            "telephone_number": "916-733-3400",
            "fax_number": "916-733-5384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Northgate Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958341149",
            "country_code": "US",
            "telephone_number": "404-488-3216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Northgate Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958341149",
            "country_code": "US",
            "telephone_number": "404-488-3216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "248 Buttercup Ct",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945593580",
            "country_code": "US",
            "telephone_number": "404-488-3216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAJWANI",
        "first_name": "SHALEENA",
        "middle_name": "ISMAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "CA",
            "license": "95008646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.