Sharandeep Johl, FNP
Individual provider Active NPI Nurse Practitioner · Sacramento, CA
NPI 1457705758 · NPPES record last updated Jun 1, 2022
Key facts
- NPI
- 1457705758
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 95004051 (CA)
- Practice address
- 2315 Stockton Blvd
Sacramento, CA 95817-2201 - Phone
- (916) 734-2011
- NPI assigned
- Apr 22, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regents of the Univ of Ca
Practice addresses (Care Compare)
4860 Y St
Sacramento, CA 95817-2307
Phone (916) 734-8306
Hospital & facility affiliations
- University of California Davis Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.15 of 100
- Quality
- 64.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.65
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160628002703 | CA | Practitioner - Nurse Practitioner | 4284925801 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95004051 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current |
Accepting new patients | |
| Sutter Valley Hospitals | Current |
Accepting new patients | |
| American Specialty Physicians Group Inc | Current |
Accepting new patients | |
| Sutter Valley Hospitals | Current |
Accepting new patients | |
| Enloe Medical Center | Current |
Accepting new patients | |
| Sutter Valley Hospitals | Current | Accepting new patients | |
| Enloe Medical Center | Current |
Accepting new patients | |
| Regents of the Univ of Ca | Current |
Accepting new patients | |
| Colusa Regional Medical Center | Past | Accepting new patients | |
| Glenn Medical Center, LLC | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients |
Locations
560 Cohasset Rd
Chico, CA 95926
Phone (530) 332-4470
888 Lakeside Vlg Cmns
Chico, CA 95928
Phone (530) 332-6800
151 E Webster St
Ste B
Colusa, CA 95932
Phone (209) 287-6308
726 4th St
Marysville, CA 95901
Phone (530) 491-9491
700 17th St
Ste 205
Modesto, CA 95354
Phone (209) 248-7851
2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000
2221 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2680
4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700
4860 Y St
Ste 2100
Sacramento, CA 95817
Phone (916) 734-3800
1625 Stockton Blvd
Ste 112
Sacramento, CA 95816
Phone (916) 887-4001
Interoperability endpoints
- sjohl433900@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95004051 | CA | Yes |
Addresses
Primary practice location
2315 Stockton Blvd
Sacramento, CA 95817-2201
Mailing address
2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-6149
Other providers in Sacramento, CA
- Gurmeet Singh Johal
- Ritika Johal
- Erin K Johansen
- Hershan Singh Johl
- Karnjit Johl
- Sukhjit S. Johl
- Sunny Johl
- John H Oneal, MD, a PC
- John M. Agee, M.D., a Professional Corp.
- John R. Nienow, M.D., Inc
All providers in Sacramento, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.