Individual provider Active NPI

Sharon Suzanne Bryden, FNP

  • Family Nurse Practitioner
  • Walnut Creek, CA
National Provider Identifier
1376173476
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012882 Issued in CA
Practice address
240 La Casa Via Ste 200
Walnut Creek, CA 94598-4866
Phone
(925) 945-6644
NPI assigned
Jan 17, 2020
Last updated
Jan 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95012882 CA Primary

Addresses

Primary practice location

240 La Casa Via Ste 200
Walnut Creek, CA 94598-4866

Mailing address

9746 Tareyton Ave
San Ramon, CA 94583-3146
Phone (925) 788-7131

Other names 1

  • Sharon Suzanne Jones Former name

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
I20220325002213 CA Practitioner - Nurse Practitioner 1456746551 Reassigns benefits to 2 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
Medamerica Physician Solutions PCGroup PAC ID 8729221809, 28 clinicians

Practice addresses (Care Compare)

112 La Casa Via
Suite 135
Walnut Creek, CA 94598-3023
Phone (925) 471-4291

16 E Fern Ave
Suite B
Redlands, CA 92373-4000
Phone (909) 435-4852

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Auc PC CurrentSince Mar 1, 2022 Accepting new patients
Medamerica Physician Solutions PC CurrentSince Aug 19, 2025 Accepting new patients
Cep America - Auc PC CurrentSince Mar 1, 2022 Accepting new patients
Brockton Podiatry Group a Prof Corp PastSince Feb 9, 2009 Accepting new patients
Cep America - Auc PC Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

26732 Crown Valley Pkwy
Ste 585
Mission Viejo, CA 92691
Phone (949) 645-3333

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

16 E Fern Ave
Ste B
Redlands, CA 92373
Phone (909) 435-4852

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

240 La Casa Via
Ste 200
Walnut Creek, CA 94598
Phone (925) 280-0800

Interoperability endpoints

  • Direct secure messaging: sbryden132001@ehr.johnmuirhealth.com
  • Direct secure messaging: sharon.bryden.1@20515.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1376173476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9746 TAREYTON AVE",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833146",
            "telephone_number": "925-788-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 LA CASA VIA STE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945984866",
            "telephone_number": "925-945-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYDEN",
        "first_name": "SHARON",
        "middle_name": "SUZANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "JONES",
            "middle_name": "SUZANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.