NPIMap

Organization Active NPI

SRZ Yorba Linda, LLC

Doing business as Sunrise of Yorba Linda

  • Assisted Living Facility
  • Yorba Linda, CA
National Provider Identifier
1649523424
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
LIC203A Issued in CA
Legal business name
SRZ YORBA LINDA, LLC
Doing business as
Sunrise of Yorba Linda
Practice address
4792 Lakeview Ave
Yorba Linda, CA 92886-2464
Phone
(714) 693-5368
Fax
(714) 777-6105
NPI assigned
Oct 18, 2012
Last updated
Oct 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Thais Andrade
Title
Executive Director
Phone
(714) 693-5368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X LIC203A CA Primary

Addresses

Primary practice location

4792 Lakeview Ave
Yorba Linda, CA 92886-2464

Mailing address

4792 Lakeview Ave
Yorba Linda, CA 92886
Phone (714) 693-5368

Other names 1

  • Sunrise of Yorba Linda Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2228598Sunrise at Yorba Linda4792 Lakeview Avenue, Yorba Linda, CA 92886Certificate of waiverJun 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Sunrise of Cuyahoga Falls21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1649523424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4792 LAKEVIEW AVE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "92886",
            "telephone_number": "714-693-5368",
            "fax_number": "714-777-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4792 LAKEVIEW AVE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862464",
            "telephone_number": "714-693-5368",
            "fax_number": "714-777-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRZ YORBA LINDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "THAIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-693-5368"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "LIC203A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise of Yorba Linda",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.