NPIMap

Organization Active NPI

Dior Sunset Foundation

  • Behavior Analyst
  • Long Beach, CA
National Provider Identifier
1336807072
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
DIOR SUNSET FOUNDATION
Doing business as
Dior Sunset Foundation
Practice address
516 W Esther St
Long Beach, CA 90813-1529
Phone
(424) 312-9020
NPI assigned
Nov 30, 2021
Last updated
Nov 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Clifford Dion Jackson Jr.
Title
Owner
Phone
(424) 312-9020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

516 W Esther St
Long Beach, CA 90813-1529

Mailing address

516 W Esther St
Long Beach, CA 90813-1529
Phone (424) 312-9020

Other names 1

  • Dior Sunset Foundation Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL latreasha@diorsunset.com Direct

National Provider Directory

National Provider Directory

Locations

516 W Esther St
Long Beach, CA 90813
Phone (424) 312-9020

Practitioners & affiliated clinicians

Practitioners 5

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": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1336807072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W ESTHER ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908131529",
            "telephone_number": "424-312-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W ESTHER ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908131529",
            "telephone_number": "424-312-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIOR SUNSET FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "DION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-312-9020",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "latreasha@diorsunset.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "516 W Esther St",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908131529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dior Sunset Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.