Individual provider Active NPI

Shannae Salas, FNP-C

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1952173643
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027719 Issued in CA
Practice address
7206 N Milburn Ave # 106a
Fresno, CA 93722-8450
Phone
(559) 840-0066
NPI assigned
Oct 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 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 95027719 CA Primary

Addresses

Primary practice location

7206 N Milburn Ave # 106a
Fresno, CA 93722-8450

Mailing address

7206 N Milburn Ave # 106a
Fresno, CA 93722-8450

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
I20240308002911 CA Practitioner - Nurse Practitioner 3779929096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Physicians and Surgeons Home Care IncGroup PAC ID 6305181686, 11 clinicians

Practice addresses (Care Compare)

7840 Imperial Hwy
Suite B
Downey, CA 90242-3457
Phone (818) 213-6325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95027719CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians and Surgeons Home Care Inc CurrentSince Jul 17, 2025 Accepting new patients

Locations

7840 Imperial Hwy
#B
Downey, CA 90242
Phone (213) 784-7918

1086 S Fairfax Ave
Los Angeles, CA 90019
Phone (424) 258-0124

955 Carrillo Dr
Ste 400
Los Angeles, CA 90048
Phone (818) 213-6325

Organizations & group practices 1

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": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1952173643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7206 N MILBURN AVE # 106A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7206 N MILBURN AVE # 106A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228450",
            "telephone_number": "559-840-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS",
        "first_name": "SHANNAE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.