Shala Shardil, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP95016978 Issued in CA

Practice address

26662 Cuenca Dr
Mission Viejo, CA 92691-6216

Phone

(949) 584-6332

NPI assigned

Feb 21, 2021

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

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

National University of Arts and Sciences, Medical Department, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Sholly Nursing Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Mission Viejo, CA
  • NPI 1811730443
  NPD Authorized official
• Sholly Nursing Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Mission Viejo, CA
  • NPI 1427900745
  NPD
• Carasquero Nursing Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Rancho Santa Margarita, CA
  • NPI 1740848381
  NPD (past)

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

{
    "created_epoch": "1613865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1396339362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26662 CUENCA DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916216",
            "telephone_number": "949-584-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26662 CUENCA DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916216",
            "telephone_number": "949-584-6332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3711 Long Beach Blvd Ste 4063",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908073320",
            "country_code": "US",
            "telephone_number": "949-229-1789",
            "fax_number": "949-864-1641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARDIL",
        "first_name": "SHALA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-21",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95016978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP95016978",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shahram Javaheri, MD, Inc.
• Muhammad Azfar Shakeel, M.D.
• Shane Fishbein Chiropractic, Inc
• Celanire Lyn Shangraw, LCSW
• Laura Sharbash, D.D.S.
• Share Our Selves Corporation
• Sharif Elbayoumy, DDS, Inc
• Barek Sharif, LMFT
• Shouka Sharifpour
• John K Shaver, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.