Healthcare Provider Details

I. General information

NPI: 1881242782
Provider Name (Legal Business Name): SHAINA-JILL S ZHENG DNP, MS, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2019
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39500 FREMONT BLVD STE 100
FREMONT CA
94538-2101
US

IV. Provider business mailing address

39500 FREMONT BLVD STE 100
FREMONT CA
94538-2101
US

V. Phone/Fax

Practice location:
  • Phone: 510-248-1800
  • Fax: 510-687-1356
Mailing address:
  • Phone: 510-248-1800
  • Fax: 510-687-1356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number95217744
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number95016143
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: