Sunjgata Jamel Elliott

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1604 N Pennsylvania Ave
San Bernardino, CA 92411-1171

Phone

(909) 713-2016

NPI assigned

Jul 7, 2025

Last updated

Jul 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1528958048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 N PENNSYLVANIA AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111171",
            "telephone_number": "909-713-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 N PENNSYLVANIA AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111171",
            "telephone_number": "909-713-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "SUNJGATA",
        "middle_name": "JAMEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-07",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Elizalde
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• Aimee Elizondo
• Marlon Terry Ellen II
• Natalia Elliott
• Noi Cindy Ellis
• Elmira Recuperative Care LLC
• Magdi Sabri Elsaadi, MD
• Jacqueline Emanuel
• Embrace Care Center LLC

• Student in an Organized Health Care Education/Training Program in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.