Active NPI
Sherley Pabustan
- School Social Worker
- Galt, CA
National Provider Identifier
1689421083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 230081799
- Practice address
- 905 Vintage Oak Ave
Galt, CA 95632-3076 - Phone
- (209) 745-4614
- NPI assigned
- May 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 230081799 | CA | Primary |
Addresses
Primary practice location
905 Vintage Oak Ave
Galt, CA 95632-3076
Mailing address
905 Vintage Oak Ave
Galt, CA 95632-3076
Phone (209) 745-4614
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
| License | State | Type | Specialty |
|---|---|---|---|
| 230081799 | CA | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1689421083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 VINTAGE OAK AVE",
"city": "GALT",
"state": "CA",
"postal_code": "956323076",
"telephone_number": "209-745-4614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 VINTAGE OAK AVE",
"city": "GALT",
"state": "CA",
"postal_code": "956323076",
"telephone_number": "209-745-4614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PABUSTAN",
"first_name": "SHERLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-02",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "CA",
"license": "230081799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galt, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.