Organization Active NPI

Sunshine Community Resource Organization Center

  • Counselor
  • Gardena, CA
National Provider Identifier
1013404243
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
SUNSHINE COMMUNITY RESOURCE ORGANIZATION CENTER
Practice address
1202 W 135TH Street
Gardena, CA 90247
Phone
(626) 600-9392
NPI assigned
Apr 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Latoshia Gaynelle Jackson
Title
Ceo
Phone
(626) 600-9392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X CA Primary

Addresses

Primary practice location

1202 W 135TH Street
Gardena, CA 90247

Mailing address

12016 Belhaven Ave
Los Angeles, CA 90059
Phone (626) 600-9392

National Provider Directory

National Provider Directory

Locations

1202 W 135th St
Gardena, CA 90247
Phone (626) 600-9392

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1013404243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12016 BELHAVEN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90059",
            "telephone_number": "626-600-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W 135TH STREET",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90247",
            "telephone_number": "626-600-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE COMMUNITY RESOURCE ORGANIZATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-13",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LATOSHIA",
        "authorized_official_middle_name": "GAYNELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-600-9392",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.