Sunnyside Rehab of Fresno

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SUNNYSIDE REHAB OF FRESNO

Practice address

2939 S Peach Ave
Fresno, CA 93725-9302

Phone

(559) 233-6248

NPI assigned

Nov 5, 2021

Last updated

Nov 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mario M Marasigan

Title

Owner

Phone

(323) 767-3327

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1023773967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 S PEACH AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937259302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 S PEACH AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937259302",
            "telephone_number": "559-233-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYSIDE REHAB OF FRESNO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "MARASIGAN",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-767-3327"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Sundstrom, ATC
• Peggy Sung
• Lokendra Pavan Kumar Sunkara, M.D
• Sunny J Care Home LLC
• Sunnyside Medical Clinis
• Ashley Sunseri
• Sunset Wellness Home Health Care
• Sunshine Community Care Center LLC
• Sunshine Community Care Center LLC
• Sunshine Community Care Center LLC

• Skilled Nursing Facility in Fresno, CA
• Providers in Fresno, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.