Sunol Hills LLC | NPI 1558097279

Key facts

NPI: 1558097279
Entity type: Organization (NPI type 2)
Primary specialty: Pediatric Adolescent Medicine Physician 2080A0000X
Legal business name: SUNOL HILLS LLC
Practice address: 21721 Granada Ave
Cupertino, CA 95014-5934
Phone: (650) 319-7225
NPI assigned: Jul 26, 2022
Organization subpart: Yes
Parent organization (as reported): SUNOL HILLS LLC

Authorized official

Name: Dr. Harmohinder Singh Athwal, MD
Title: Owner
Phone: (510) 651-5808

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Sunol Hills LLC Psychiatric Residential Treatment Facility · Sunol, CA · NPI 1609388487

NPPES parent name

Corporate family (same tax ID) 3

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

Sunol Hills at Fremont Community/Behavioral Health Agency · Fremont, CA · NPI 1407418346

NPD tax ID
Sunol Hills LLC Mental Illness Community Based Residential Treatment Facility · Lafayette, CA · NPI 1194387209

NPD tax ID
Sunol Hills LLC Psychiatric Residential Treatment Facility · Sunol, CA · NPI 1609388487

NPD tax ID

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Sarah Jurgens, RD Registered Dietitian · Cupertino, CA · NPI 1740853928

NPD DIETITIAN, REGISTERED
Irit Ester Broner Marriage & Family Therapist · Palo Alto, CA · NPI 1891361085

NPD (past) MARRIAGE & FAMILY THERAPIST
Emily Caruthers, MFT Marriage & Family Therapist · Palo Alto, CA · NPI 1366711533

NPD (past) MARRIAGE & FAMILY THERAPIST
Jessica Solari Marriage & Family Therapist · Palo Alto, CA · NPI 1306201678

NPD (past) MARRIAGE & FAMILY THERAPIST

National Provider Directory

Tax ID family: Sunol Hills LLC (4 organizations share this tax ID)
Part of: Sunol Hills LLC

Locations

21721 Granada Ave
Cupertino, CA 95014
Phone (415) 310-9825

Specialties & licenses

Specialty (taxonomy)	Code	Primary
Mental Health Counselor Group: 193200000X MULTI-SPECIALTY GROUP	101YM0800X
Marriage & Family Therapist Group: 193200000X MULTI-SPECIALTY GROUP	106H00000X
Registered Dietitian Group: 193200000X MULTI-SPECIALTY GROUP	133V00000X
Pediatric Adolescent Medicine Physician Group: 193200000X MULTI-SPECIALTY GROUP	2080A0000X	Yes
Psychiatry Physician Group: 193200000X MULTI-SPECIALTY GROUP	2084P0800X
Child & Adolescent Psychiatry Physician Group: 193200000X MULTI-SPECIALTY GROUP	2084P0804X

Addresses

Primary practice location

21721 Granada Ave
Cupertino, CA 95014-5934

Mailing address

23 Carver LN
Sunol, CA 94586-9441

Other names

Mid-Peninsula Eating Disorder Clinic Doing business as

Other providers in Cupertino, CA

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Lijun Sun, L.AC
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Ishita N Sura, PT
Karen Swinehart, MS, O.T.R./L.
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All providers in Cupertino, CA · Pediatric Adolescent Medicine Physician in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.