Organization Active NPI

Sholly Nursing Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Mission Viejo, CA
National Provider Identifier
1811730443
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SHOLLY NURSING INC
Doing business as
Sholly Wellness
Practice address
26662 Cuenca Dr
Mission Viejo, CA 92691-6216
Phone
(949) 229-1789
NPI assigned
Jun 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
Shala Shardil, NPNPI 1396339362
Title
Ceo
Phone
(949) 229-1789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

26662 Cuenca Dr
Mission Viejo, CA 92691-6216

Mailing address

26662 Cuenca Dr
Mission Viejo, CA 92691-6216
Phone (949) 229-1789

Other practice location 1

3711 Long Beach Blvd Ste 4063
Long Beach, CA 90807-3320
Phone (949) 229-1789

Other names 1

  • Sholly Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sholly Nursing Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

23185 La Cadena Dr
Ste 104
Laguna Hills, CA 92653
Phone (949) 597-0202

3711 Long Beach Blvd
Ste 4063
Long Beach, CA 90807
Phone (949) 229-1789

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1811730443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26662 CUENCA DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916216",
            "telephone_number": "949-229-1789",
            "fax_number": "949-864-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26662 CUENCA DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916216",
            "telephone_number": "949-229-1789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3711 Long Beach Blvd Ste 4063",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908073320",
            "country_code": "US",
            "telephone_number": "949-229-1789",
            "fax_number": "949-864-1641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHOLLY NURSING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "SHARDIL",
        "authorized_official_first_name": "SHALA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-229-1789",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sholly Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sholly Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.