Active NPI
Shabana Sunesara, APRN-FNP
- Family Nurse Practitioner
- Ceres, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95007976
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95007976 | CA | MD | Family Nurse Practitioner |
| AP130246 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | 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 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 | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Turlock, CA
- NPI 1356445753
-
- Federally Qualified Health Center (FQHC)
- Planada, CA
- NPI 1235114745
-
- Federally Qualified Health Center (FQHC)
- Modesto, CA
- NPI 1346224417
-
- Federally Qualified Health Center (FQHC)
- Le Grand, CA
- NPI 1356325310
-
- Federally Qualified Health Center (FQHC)
- Merced, CA
- NPI 1508333253
-
- Federally Qualified Health Center (FQHC)
- Modesto, CA
- NPI 1518298306
-
- Federally Qualified Health Center (FQHC)
- Merced, CA
- NPI 1528042512
-
- Federally Qualified Health Center (FQHC)
- Newman, CA
- NPI 1689658668
-
- Federally Qualified Health Center (FQHC)
- Los Banos, CA
- NPI 1730163734
-
- Federally Qualified Health Center (FQHC)
- Dos Palos, CA
- NPI 1770567778
-
- Federally Qualified Health Center (FQHC)
- Westley, CA
- NPI 1770568347
-
- Federally Qualified Health Center (FQHC)
- Patterson, CA
- NPI 1922082007
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.