Individual provider Active NPI

Sharlene Joyce Sison De Castro

  • Family Nurse Practitioner
  • National City, CA
National Provider Identifier
1750019824
Registry record updated Aug 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95021762 Issued in CA
Practice address
2101 Granger Ave # 101-a
National City, CA 91950-6208
Phone
(844) 200-2426
NPI assigned
Aug 8, 2022
Last updated
Aug 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95021762 CA Primary

Addresses

Primary practice location

2101 Granger Ave # 101-a
National City, CA 91950-6208

Mailing address

2101 Granger Ave # 101-a
National City, CA 91950-6208
Phone (844) 200-2426

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
I20230426001245 CA Practitioner - Nurse Practitioner 0042675019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omar Osman Practice, LLCGroup PAC ID 4385014042, 45 clinicians

Practice addresses (Care Compare)

3780 Massachusetts Ave
La Mesa, CA 91941-7638
Phone (619) 465-1313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95021762CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omar Osman Practice, LLC CurrentSince Feb 20, 2024 Accepting new patients
Operation Samahan, Inc. PastSince Jul 22, 2025 Accepting new patients

Locations

3780 Massachusetts Ave
La Mesa, CA 91941
Phone (619) 465-1313

5602 University Ave
San Diego, CA 92105
Phone (619) 583-1993

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691798400000",
    "number": "1750019824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 GRANGER AVE # 101-A",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919506208",
            "telephone_number": "844-200-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 GRANGER AVE # 101-A",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919506208",
            "telephone_number": "844-200-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE CASTRO",
        "first_name": "SHARLENE JOYCE",
        "middle_name": "SISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2023-08-12",
        "certification_date": "2023-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95021762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.