Individual provider Active NPI

Shabana Sunesara, APRN-FNP

  • Family Nurse Practitioner
  • Ceres, CA
National Provider Identifier
1730549080
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95007976 Issued in CA
Practice address
2760 3Rd St
Ceres, CA 95307
Phone
(209) 556-5011
Fax
(209) 556-5095
NPI assigned
Feb 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP130246 TX
Family Nurse Practitioner 363LF0000X NP95007976 CA Primary

Addresses

Primary practice location

2760 3Rd St
Ceres, CA 95307

Mailing address

1910 Customer Care Way
Atwater, CA 95301-5167
Phone (209) 384-6488

Other practice location 1

610 Melton St Ste 250
Magnolia, TX 77354-2387
Phone (281) 377-5102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180427002155 CA Practitioner - Nurse Practitioner 0042574071 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95007976CAMDFamily Nurse Practitioner
AP130246TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Centers CurrentSince May 7, 2018 Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center CurrentSince May 7, 2018 Accepting new patients
Kashif R. Ali,MD,PA Past Accepting new patients
Golden Valley Health Center Past Accepting new patients

Locations

1910 Customer Care Way
Atwater, CA 95301
Phone (209) 384-6488

2760 3rd St
Ceres, CA 95307
Phone (209) 537-4813

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

302 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

208 W Coolidge Ave
Modesto, CA 95350

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1730549080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 CUSTOMER CARE WAY",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015167",
            "telephone_number": "209-384-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 3RD ST",
            "city": "CERES",
            "state": "CA",
            "postal_code": "95307",
            "telephone_number": "209-556-5011",
            "fax_number": "209-556-5095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Melton St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Magnolia",
            "state": "TX",
            "postal_code": "773542387",
            "country_code": "US",
            "telephone_number": "281-377-5102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNESARA",
        "first_name": "SHABANA",
        "credential": "APRN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130246",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95007976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ceres, CA

Sources for this page

Verify at the official NPI Registry.