Individual provider Active NPI

Sherry Ann Cayas Luistro

  • Registered Nurse
  • Vallejo, CA
National Provider Identifier
1467242578
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
622476 Issued in CA
Practice address
3042 Clear Coast CT
Vallejo, CA 94591-8384
Phone
(707) 771-0029
NPI assigned
May 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 622476 CA Primary

Addresses

Primary practice location

3042 Clear Coast CT
Vallejo, CA 94591-8384

Mailing address

3042 Clear Coast CT
Vallejo, CA 94591-8384
Phone (707) 771-0029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
622476CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1467242578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3042 CLEAR COAST CT",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945918384",
            "telephone_number": "707-771-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3042 CLEAR COAST CT",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945918384",
            "telephone_number": "707-771-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUISTRO",
        "first_name": "SHERRY ANN",
        "middle_name": "CAYAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "622476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.