Organization Active NPI

Cbas Consulting Inc

  • Adult Day Care Clinic/Center
  • El Cajon, CA
National Provider Identifier
1184207631
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
CBAS CONSULTING INC
Practice address
854 Jackman St
El Cajon, CA 92020-3053
Phone
(818) 404-5005
NPI assigned
May 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Hambarsoom Rezkwa
Title
President
Phone
(818) 404-5005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

854 Jackman St
El Cajon, CA 92020-3053

Mailing address

12385 Jolette Ave
Granada Hills, CA 91344-1633
Phone (951) 221-5222

Other identifiers 1

IdentifierTypeStateIssuer
09042001MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Harry@SunnyADHC.com

National Provider Directory

National Provider Directory

Locations

854 Jackman St
El Cajon, CA 92020
Phone (818) 404-5005

Interoperability endpoints

  • Direct secure messaging: harry@sunnyadhc.com

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1184207631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12385 JOLETTE AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441633",
            "telephone_number": "951-221-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 JACKMAN ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203053",
            "telephone_number": "818-404-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBAS CONSULTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "REZKWA",
        "authorized_official_first_name": "HAMBARSOOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-404-5005"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09042001",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Harry@SunnyADHC.com",
            "affiliation": "N",
            "address_1": "854 Jackman St",
            "city": "El Cajon",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920203053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.