Shalisa Eti

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

3311 Kifer Rd
Santa Clara, CA 95051-0708

Phone

(408) 730-6905

NPI assigned

Aug 6, 2026

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1578487203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 SWEETBERRY CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951362429",
            "telephone_number": "408-564-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 KIFER RD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950510708",
            "telephone_number": "408-730-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETI",
        "first_name": "SHALISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bridget Michele Evans, PT
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• Sarah Conley Evans, M.D.
• Evelyn C.Galvan D.M.D Inc.& Associates

• Peer Specialist in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.