Healthcare Provider Details

I. General information

NPI: 1912769068
Provider Name (Legal Business Name): SHILPA SHRESTHA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2024
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9140 ALCOSTA BLVD STE D
SAN RAMON CA
94583-3858
US

IV. Provider business mailing address

2816 POULOS CT
PINOLE CA
94564-2910
US

V. Phone/Fax

Practice location:
  • Phone: 925-361-5959
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95028594
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: