NPIMap

Organization Active NPI

Pacific Sunrise Home Inc.

  • Assisted Living Facility
  • Rancho Palos Verdes, CA
National Provider Identifier
1548633472
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
197607766 Issued in CA
Legal business name
PACIFIC SUNRISE HOME INC.
Practice address
28134 Lomo Dr
Rancho Palos Verdes, CA 90275-3226
Phone
(424) 777-8707
Fax
(424) 206-2486
NPI assigned
Oct 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Mrs. Maria Loida Cantoria
Title
Administrator
Phone
(310) 500-7223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 197607766 CA Primary

Addresses

Primary practice location

28134 Lomo Dr
Rancho Palos Verdes, CA 90275-3226

Mailing address

28134 Lomo Dr
Rancho Palos Verdes, CA 90275-3226
Phone (424) 777-8602

Other identifiers 1

IdentifierTypeStateIssuer
198320035OtherCADEPARTMENT OF SOCIAL SERVICES

Other names 1

  • PACIFIC SUNRISE HOME 1 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pacific Sunrise Home 13 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1548633472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28134 LOMO DR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902753226",
            "telephone_number": "424-777-8602",
            "fax_number": "424-206-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28134 LOMO DR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902753226",
            "telephone_number": "424-777-8707",
            "fax_number": "424-206-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SUNRISE HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "CANTORIA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LOIDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-500-7223",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197607766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF SOCIAL SERVICES",
            "identifier": "198320035",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACIFIC SUNRISE HOME 1",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PACIFIC SUNRISE HOME 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.