Cannon Cottage Foundation

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

CANNON COTTAGE FOUNDATION

Practice address

15256 Sunchaser St
Victorville, CA 92394-7580

Phone

(909) 265-6081

NPI assigned

Jun 3, 2026

Organization subpart

No

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

Authorized official

Name

Sheleta Williams

Title

Administrator

Phone

(909) 265-6081

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1184557803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 N ARROWHEAD AVE UNIT 6",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011201",
            "telephone_number": "909-265-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15256 SUNCHASER ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923947580",
            "telephone_number": "909-265-6081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 W 11th St",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924112219",
            "country_code": "US",
            "telephone_number": "909-265-6081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CANNON COTTAGE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHELETA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-265-6081"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Campbell
• Laura Campbell
• Rosetta Lashawn Campbell
• Alijha Campos
• Alexis Canizalez
• Charles Justin Trinidad Capilitan, DDS
• Rebecca Capper
• Celina Carbajal, LVN
• Taylor Carcamo
• Cardiac Anesthesia, Inc.

• Lodging Provider in Victorville, CA
• Providers in Victorville, CA by specialty
• Lodging Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.