Shahrukh Anwer
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Azusa, CA
NPI 1912872243 · NPPES record last updated Oct 7, 2025
Key facts
- NPI
- 1912872243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 95035673 (CA)
- Practice address
- 901 E Alosta Ave
Azusa, CA 91702-2701 - Phone
- (626) 969-3434
- NPI assigned
- Oct 7, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
935 Market St
Yuba City, CA 95991-4217
PO Box Ad
Yuba City, CA 95992
Hospital & facility affiliations
- Oroville Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260113002692 | CA | Practitioner - Nurse Practitioner | 3476039009 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95035673 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ampla Health | Current |
Accepting new patients | |
| Ampla Health | Current |
Accepting new patients |
Locations
2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500
1000 Sutter St
Yuba City, CA 95991
Phone (530) 673-9420
935 Market St
Yuba City, CA 95991
Phone (530) 674-4261
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95035673 | CA | Yes |
Addresses
Primary practice location
901 E Alosta Ave
Azusa, CA 91702-2701
Mailing address
7928 Phlox St
Downey, CA 90241-4506
Phone (530) 788-5618
Other providers in Azusa, CA
- Teodorica M Angulo
- Kristi Anson
- Charles Antig
- Victoria Antunez
- Roswitha Anwar
- Susan Araujo
- David Perez Arguijo
- Jeni Marie Arhart
- Pablo Aristizabal
- Jaidah Annellie Arredondo
All providers in Azusa, CA · Psychiatric/Mental Health Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.