Organization Active NPI

Sunny Way Congregate Living

  • Skilled Nursing Facility
  • Victorville, CA
National Provider Identifier
1033029756
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Sep 8, 2026

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.