Organization Active NPI

Juniper Terrace, Inc.

  • Assisted Living Facility
  • Fullerton, CA
National Provider Identifier
1285506881
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
JUNIPER TERRACE, INC.
Practice address
618 Juniper Ave
Fullerton, CA 92833-3623
Phone
(213) 820-3244
Fax
(714) 681-1282
NPI assigned
Sep 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Hyo Sook Kim
Title
Ceo
Phone
(213) 820-3244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

618 Juniper Ave
Fullerton, CA 92833-3623

Mailing address

618 Juniper Ave
Fullerton, CA 92833-3623
Phone (213) 820-3244

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1285506881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 JUNIPER AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928333623",
            "telephone_number": "213-820-3244",
            "fax_number": "714-681-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 JUNIPER AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928333623",
            "telephone_number": "213-820-3244",
            "fax_number": "714-681-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIPER TERRACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYO SOOK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-820-3244"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 22, 2025; 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.