Sun Mar Nursing Centers

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

240000166 Issued in CA

Legal business name

SUN MAR NURSING CENTERS

Practice address

7509 N Laurel Avenue
Fontana, CA 92336

Phone

(909) 822-8066

Fax

(909) 823-1655

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark A Mortensen

Title

Sr VP Finance

Phone

(714) 577-3880

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laurel Convalescent Hospital Doing business as

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1376649293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 SATURN STREET",
            "address_2": "SUITE #201",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216278",
            "telephone_number": "714-577-3880",
            "fax_number": "714-577-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 N LAUREL AVENUE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92336",
            "telephone_number": "909-822-8066",
            "fax_number": "909-823-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN MAR NURSING CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "MORTENSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SR VP FINANCE",
        "authorized_official_telephone_number": "714-577-3880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "240000166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC06429G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Jeffrey Sukay, MD
• Oluranti Ruth Sule
• Tanzila Suliman
• Summit Medical Supply, LLC
• Summit Orthodontics
• Yi Yi Sun
• Chithraleka Sundaramurthy, M.D
• Sharon S. Sung, MD
• Charmaine C Sunga, BSN, RN
• Anujna Sunil

• Skilled Nursing Facility in Fontana, CA
• Providers in Fontana, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.