Edward N Shradar, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

387066 Issued in CA

Practice address

4390 Conejo Dr
Danville, CA 94506-6258

Phone

(925) 785-6227

NPI assigned

Jun 25, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1498348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1528588175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4390 CONEJO DR",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945066258",
            "telephone_number": "925-785-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 CONEJO DR",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945066258",
            "telephone_number": "925-785-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRADAR",
        "first_name": "EDWARD",
        "middle_name": "N",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "387066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Sheridan
• Glynnyale Latisha Shiel
• Cynthia Shimansky
• Brielle Shipman, D.C.
• Rhiannon Barbara Joyce Shires, PSY.D.
• William Jon Shryer, MSW, LCSW, DCSW
• Stacy Ann Shulenberger, D.C., C.C.E.P.
• Delia Belen Sidhu
• Manraj Sidhu
• Edirin Elaine Sido, DMD

• Registered Nurse in Danville, CA
• Providers in Danville, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.