Active NPI
Sunshine Hospice of Southern California Inc
- Community Based Hospice Care Agency
- Fountain Valley, CA
National Provider Identifier
1225606700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- SUNSHINE HOSPICE OF SOUTHERN CALIFORNIA INC
- Practice address
- 17220 Newhope St Ste 204
Fountain Valley, CA 92708-4261 - Phone
- (818) 856-7270
- NPI assigned
- Jun 11, 2021
- Last updated
- Jun 11, 2021
- 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
- Jaqline Nazari
- Title
- Ceo
- Phone
- (818) 856-7270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
17220 Newhope St Ste 204
Fountain Valley, CA 92708-4261
Mailing address
17220 Newhope St Ste 204
Fountain Valley, CA 92708-4261
National Provider Directory
National Provider DirectoryLocations
17220 Newhope St
Ste 204
Fountain Valley, CA 92708
Phone (818) 839-8879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623369600000",
"number": "1225606700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17220 NEWHOPE ST STE 204",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17220 NEWHOPE ST STE 204",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084261",
"telephone_number": "818-856-7270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSHINE HOSPICE OF SOUTHERN CALIFORNIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-11",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A",
"authorized_official_last_name": "NAZARI",
"authorized_official_first_name": "JAQLINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-856-7270"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.