Individual provider Active NPI

Shanika Israel, FNP-BC

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1861915993
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011416 Issued in CA
Practice address
7096 N West Ave
Fresno, CA 93711-0462
Phone
(786) 660-0348
NPI assigned
Jul 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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 F07170933 FL
Family Nurse Practitioner 363LF0000X 95011416 CA Primary

Addresses

Primary practice location

7096 N West Ave
Fresno, CA 93711-0462

Mailing address

7096 N West Ave
Fresno, CA 93711-0462

Other practice location 1

6095 N 1st St
Fresno, CA 93710
Phone (559) 446-1515

Other practice location 2

11501 N Military Trl
Palm Beach Gardens, FL 33410-6507
Phone (786) 660-0348

Other practice location 3

11501 N Military Trl
Palm Beach Gardens, FL 33410-6507
Phone (786) 660-0348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190729001064 CA Practitioner - Nurse Practitioner 7911233945 Reassigns benefits to 3 organizations
I20230830004373 FL Practitioner - Nurse Practitioner 7911233945
I20231117002365 TX Practitioner - Nurse Practitioner 7911233945 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07170933FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince Jan 29, 2022 Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Nov 8, 2023 Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Family CurrentSince Jan 19, 2022 Accepting new patients

Locations

987 E Hillsdale Blvd
Foster City, CA 94404
Phone (650) 570-4631

7096 N West Ave
Fresno, CA 93711
Phone (559) 436-0471

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

1350 Florin Rd
Sacramento, CA 95822
Phone (916) 392-5184

1350 Florin Rd
#9823
Sacramento, CA 95822
Phone (916) 392-5184

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

1900 19th Ave
San Francisco, CA 94116
Phone (415) 664-1834

2514 Berryessa Rd
San Jose, CA 95132
Phone (408) 272-1431

2455 San Ramon Valley Blvd
San Ramon, CA 94583
Phone (925) 820-7325

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3154

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1861915993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7096 N WEST AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7096 N WEST AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110462",
            "telephone_number": "786-660-0348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6095 N 1st St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93710",
            "country_code": "US",
            "telephone_number": "559-446-1515",
            "fax_number": "559-446-1273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11501 N Military Trl",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334106507",
            "country_code": "US",
            "telephone_number": "786-660-0348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11501 N Military Trl",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334106507",
            "country_code": "US",
            "telephone_number": "786-660-0348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISRAEL",
        "first_name": "SHANIKA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F07170933",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.