Organization Active NPI

Sunny Ridge Manor

  • Nursing Facility/Intermediate Care Facility
  • Fullerton, CA
National Provider Identifier
1386097046
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
306002108 Issued in CA
Legal business name
SUNNY RIDGE MANOR
Practice address
1201 Post Rd
Fullerton, CA 92833-2002
Phone
(714) 526-7983
NPI assigned
Jul 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Femy Salvador
Title
Administrator
Phone
(714) 526-7983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 306002108 CA Primary

Addresses

Primary practice location

1201 Post Rd
Fullerton, CA 92833-2002

Mailing address

1201 Post Rd
Fullerton, CA 92833-2002
Phone (714) 526-7983

Other identifiers 1

IdentifierTypeStateIssuer
306002108OtherCOMMUNITY CARE LICENSING

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1386097046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 POST RD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332002",
            "telephone_number": "714-526-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 POST RD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332002",
            "telephone_number": "714-526-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY RIDGE MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "SALVADOR",
        "authorized_official_first_name": "FEMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-526-7983"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "306002108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CARE LICENSING",
            "identifier": "306002108",
            "state": null
        }
    ],
    "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 Jul 18, 2016; 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.