Shirley Surrao, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95030463 Issued in CA

Practice address

41250 12TH St W Ste B
Palmdale, CA 93551-1444

Phone

(661) 499-2720

Fax

(661) 499-2721

NPI assigned

Oct 28, 2024

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

Credentials

Nurse Practitioner

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1699597096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41250 12TH ST W STE B",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511444",
            "telephone_number": "661-499-2720",
            "fax_number": "661-499-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41250 12TH ST W STE B",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511444",
            "telephone_number": "661-499-2720",
            "fax_number": "661-499-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURRAO",
        "first_name": "SHIRLEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susie Suh, DDS
• Jeffrey A Sulitzer, DMD
• Summit Medical Group
• Summit Medical Partners
• Ma Therese Sunga Sunga
• Jackline Shinyonya Sutherland, NP
• Cheryl Ann Swanson, L.C.S.W.
• Justin Swayne, LVN
• Kathleen Ann Sweeney
• Alice Sweet

• Family Nurse Practitioner in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.