Individual provider Active NPI

Ayana Sinyangwe, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Stockton, CA
National Provider Identifier
1891518932
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP95029875 Issued in CA
Practice address
1811 Grand Canal Blvd Ste 3
Stockton, CA 95207-8107
Phone
(209) 800-1718
NPI assigned
Nov 6, 2024
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP95029875 CA Primary

Addresses

Primary practice location

1811 Grand Canal Blvd Ste 3
Stockton, CA 95207-8107

Mailing address

1811 Grand Canal Blvd Ste 3
Stockton, CA 95207-8107
Phone (209) 800-1718

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
I20241115003582 CA Practitioner - Nurse Practitioner 4183158983 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Truist Medical and Behavioral Health Services IncGroup PAC ID 6305206632, 3 clinicians

Practice addresses (Care Compare)

8120 Timberlake Way
Suite 210B
Sacramento, CA 95823-5414
Phone (916) 917-7316

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95029875CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truist Medical & Behavioral Health Services, Inc CurrentSince Dec 31, 2024 Accepting new patients
Elk Grove Cardiology Inc CurrentSince Dec 31, 2024 Accepting new patients
Mind Body Medicine Inc CurrentSince Nov 6, 2024 Accepting new patients
Alleviant Health PastSince Jun 23, 2025 Accepting new patients

Locations

8120 Timberlake Way
Ste 210B
Sacramento, CA 95823
Phone (916) 251-3058

1811 Grand Canal Blvd
Ste 3
Stockton, CA 95207
Phone (209) 800-1718

2509 W March Ln
Ste 250
Stockton, CA 95207
Phone (209) 222-6061

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, 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": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1891518932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 GRAND CANAL BLVD STE 3",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078107",
            "telephone_number": "209-800-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 GRAND CANAL BLVD STE 3",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078107",
            "telephone_number": "209-800-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINYANGWE",
        "first_name": "AYANA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95029875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.