Individual provider Active NPI

Shirleen Salafrania Gubuan, MSN, RN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Gilroy, CA
National Provider Identifier
1356984637
Registry record updated Oct 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
2019051297 Issued in CA
Practice address
11 Takko Machi LN
Gilroy, CA 95020-6687
Phone
(408) 802-8951
NPI assigned
Oct 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2019051297 CA Primary

Addresses

Primary practice location

11 Takko Machi LN
Gilroy, CA 95020-6687

Mailing address

11 Takko Machi LN
Gilroy, CA 95020-6687

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
I20200623001020 CA Practitioner - Nurse Practitioner 7517389497 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Care Solution IncGroup PAC ID 3476969031, 12 clinicians

Practice addresses (Care Compare)

2065 Los Gatos Almaden Rd
San Jose, CA 95124-5417
Phone (832) 618-8479

Merit-based Incentive Payment System (MIPS)

Final score
18.04 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
60.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
2019051297CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Oct 31, 2022 Accepting new patients
County of Santa Clara CurrentSince Oct 31, 2022 Accepting new patients
County of Santa Clara CurrentSince Oct 31, 2022 Accepting new patients
County of Santa Clara Current Accepting new patients
Quality Care Solution Inc. CurrentSince Nov 1, 2021 Accepting new patients
County of Santa Clara CurrentSince Oct 31, 2022 Accepting new patients
County of Santa Clara Current Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

2065 Los Gatos Almaden Rd
San Jose, CA 95124
Phone (408) 356-7002

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

1355 Clayton Rd
San Jose, CA 95127
Phone (408) 251-3070

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

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": "1571443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571443200000",
    "number": "1356984637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 TAKKO MACHI LN",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950206687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 TAKKO MACHI LN",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950206687",
            "telephone_number": "408-802-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBUAN",
        "first_name": "SHIRLEEN",
        "middle_name": "SALAFRANIA",
        "credential": "MSN, RN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-19",
        "last_updated": "2019-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "2019051297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

Verify at the official NPI Registry.