Shilpa Jayaramaswamy Sulochana, MD
Individual provider Active NPI Pediatrics Physician · Fremont, CA
NPI 1487902524 · NPPES record last updated Mar 12, 2025
Key facts
- NPI
- 1487902524
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- C201237 (CA)
- Practice address
- 39500 Fremont Blvd Ste 100
Fremont, CA 94538-2101 - Phone
- (510) 248-1800
- Fax
- (510) 687-1356
- NPI assigned
- Aug 21, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250722003784 | CA | Practitioner - Pediatric Medicine | 9537675913 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C201237 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Township Medical Foundation | Current |
Accepting new patients | |
| Washington Township Medical Foundation | Pediatrics | Current |
Accepting new patients |
| Peds Center of Round Rock PA | Pediatrics | Current |
Accepting new patients |
| Peds Center of Round Rock PA | Pediatrics | Past |
Accepting new patients |
| Pediatric First, PC | Pediatrics | Past | Accepting new patients |
| Washington Township Medical Group | Past | Accepting new patients |
Locations
39300 Civic Center Dr
Ste 370
Fremont, CA 94538
Phone (510) 248-1000
39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800
218 Highway 290 W
Elgin, TX 78621
Phone (512) 281-1900
7700 Cat Hollow Dr
Ste 104
Round Rock, TX 78681
Phone (512) 733-5437
Interoperability endpoints
- sjayaramaswamysulochana153792@direct.whhs.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C201237 | CA | Yes |
Addresses
Primary practice location
39500 Fremont Blvd Ste 100
Fremont, CA 94538-2101
Mailing address
39500 Fremont Blvd Ste 100
Fremont, CA 94538-2101
Phone (510) 248-1800
Other names
- Shilpa Sulochana
Other providers in Fremont, CA
- Ismah Jawed
- Michelle Jay
- Saranya Jayakar
- Sruthi Jayakumar
- Mayuri Jayaraman
- Rebekah Jazdzewski
- Jeannie Chung, DDS, Ms, Inc
- Jeffrey Scott Stuart, M.D., Inc.
- Jeffrey Wang, DDS
- Keith A Jeffrey
All providers in Fremont, CA · Pediatrics Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.