Individual provider Active NPI

Shanthi Januviw Dsouza

  • Registered Nurse
  • Anderson, CA
National Provider Identifier
1467898437
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
711980 Issued in CA
Practice address
3535 Barkwood Dr
Anderson, CA 96007-4716
Phone
(530) 365-3481
NPI assigned
May 17, 2013
Last updated
Jul 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23145 CA
Registered Nurse 163W00000X 711980 CA Primary

Addresses

Primary practice location

3535 Barkwood Dr
Anderson, CA 96007-4716

Mailing address

3535 Barkwood Dr
Anderson, CA 96007-4716
Phone (530) 365-3481

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
I20140506000359 CA Practitioner - Nurse Practitioner 3173756723 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nepomuceno Hospital Group IncGroup PAC ID 5092008672, 3 clinicians

Practice addresses (Care Compare)

1836 Gold St
Redding, CA 96001-1817
Phone (530) 241-6756

201 Hartnell Ave
Redding, CA 96002-1843
Phone (530) 222-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23145CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amit Bawa MD Inc CurrentSince Mar 20, 2021 Accepting new patients
Gateway Medical Center Inc CurrentSince May 28, 2019 Accepting new patients
Nepomuceno Hospital Group Inc CurrentSince Oct 1, 2025 Accepting new patients
Gateway Medical Services, Inc. CurrentSince May 28, 2019 Accepting new patients
Applewood Operating Company, LLC CurrentSince Jan 28, 2014 Accepting new patients

Locations

3082 McMurray Dr
Anderson, CA 96007
Phone (530) 365-4412

3300 Franklin St
Anderson, CA 96007
Phone (530) 212-0073

1310 Churn Creek Rd
Ste E5
Redding, CA 96003
Phone (530) 722-9907

1836 Gold St
Redding, CA 96001
Phone (530) 241-6756

191 Churn Creek Rd
Redding, CA 96003
Phone (530) 242-0654

201 Hartnell Ave
Redding, CA 96002
Phone (530) 212-0073

2490 Court St
Redding, CA 96001
Phone (530) 246-0600

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 2

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": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1467898437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 BARKWOOD DR",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960074716",
            "telephone_number": "530-365-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 BARKWOOD DR",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960074716",
            "telephone_number": "530-365-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DSOUZA",
        "first_name": "SHANTHI",
        "middle_name": "JANUVIW",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23145",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "711980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, CA

Sources for this page

Verify at the official NPI Registry.