Active NPI
Sunny Way Congregate Living
- Skilled Nursing Facility
- Victorville, CA
National Provider Identifier
1033029756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SUNNY WAY CONGREGATE LIVING
- Practice address
- 11452 Sunny Way
Victorville, CA 92392-8110 - Phone
- (714) 623-0859
- NPI assigned
- Sep 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anna Nguyen De Los Reyes
- Title
- Administrator Assistant- LVN
- Phone
- (714) 276-7052
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
11452 Sunny Way
Victorville, CA 92392-8110
Mailing address
9452 Skylark Blvd
Garden Grove, CA 92841-2019
Phone (714) 623-0859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788825600000",
"number": "1033029756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9452 SKYLARK BLVD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928412019",
"telephone_number": "714-623-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11452 SUNNY WAY",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923928110",
"telephone_number": "714-623-0859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNNY WAY CONGREGATE LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A",
"authorized_official_last_name": "DE LOS REYES",
"authorized_official_first_name": "ANNA",
"authorized_official_middle_name": "NGUYEN",
"authorized_official_title_or_position": "ADMINISTRATOR ASSISTANT- LVN",
"authorized_official_telephone_number": "714-276-7052"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.