NPIMap

Organization Active NPI

Sunny Hills Behavioral Health, Inc.

Doing business as Sunny Hills Medical Center

  • Urgent Care Clinic/Center
  • Fullerton, CA
National Provider Identifier
1063151462
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SUNNY HILLS BEHAVIORAL HEALTH, INC.
Doing business as
Sunny Hills Medical Center
Practice address
140 E Commonwealth Ave Ste 100
Fullerton, CA 92832-1905
Phone
(714) 773-4111
Fax
(714) 773-4111
NPI assigned
Jun 2, 2022
Last updated
Jun 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Sandhya R Gudapati, MDNPI 1962625384
Title
President
Phone
(714) 773-4111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Radiology Clinic/Center 261QR0200X NU
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

140 E Commonwealth Ave Ste 100
Fullerton, CA 92832-1905

Mailing address

140 E Commonwealth Ave Ste 100
Fullerton, CA 92832-1905
Phone (714) 773-4111

Other names 1

  • Sunny Hills Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunny Hills Behavioral Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

140 E Commonwealth Ave
Ste 100
Fullerton, CA 92832
Phone (714) 572-3900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1063151462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E COMMONWEALTH AVE STE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321905",
            "telephone_number": "714-773-4111",
            "fax_number": "714-773-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E COMMONWEALTH AVE STE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321905",
            "telephone_number": "714-773-4111",
            "fax_number": "714-773-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY HILLS BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "GUDAPATI",
        "authorized_official_first_name": "SANDHYA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-773-4111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunny Hills Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.