SHAYLAH ANDERSON
NPI 1962938340
Counselor - Professional in San Leandro, CA
About Shaylah Anderson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAYLAH ANDERSON (NPI 1962938340) is an individual professional provider in San Leandro, California, licensed in California (8134) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shaylah Anderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shaylah Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shaylah Anderson's NPI number?
The NPI number for Shaylah Anderson is 1962938340. It was assigned to this individual provider in the NPPES registry on May 4, 2017.
Where is Shaylah Anderson located?
Shaylah Anderson practices at 3847 E14th St #215, San Leandro, CA 94578. The listed phone number is (510) 430-1115.
What is Shaylah Anderson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Shaylah Anderson enrolled in Medicare?
Yes. Shaylah Anderson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shaylah Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shaylah Anderson reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shaylah Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shaylah Anderson was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shaylah Anderson · NPI 1962938340
Professional provider in San Leandro, California. Individual provider, active in the CMS NPPES registry since May 4, 2017.
## Identity
- **NPI:** 1962938340 (Entity type: Individual)
- **Enumerated:** May 4, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 8134 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3847 E14TH ST, #215, San Leandro, CA 94578
- **Phone:** (510) 430-1115
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PC (NPI 1154994846, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1962938340) · Data from the CMS NPPES public registry.