Individual provider Active NPI

Johnny Zuniga III

  • Mental Illness Community Based Residential Treatment Facility
  • Santa Paula, CA
National Provider Identifier
1689321523
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
565850154 Issued in CA
Practice address
811 W Telegraph Rd
Santa Paula, CA 93060-5400
Phone
(805) 805-2654
NPI assigned
Mar 9, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 565850154 CA Primary

Addresses

Primary practice location

811 W Telegraph Rd
Santa Paula, CA 93060-5400

Mailing address

701 Aster St
Oxnard, CA 93036-2960
Phone (805) 407-8797

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jzuniga@jacksonhousesp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
565850154CAMDMental Illness Community Based Residential Treatment Facility

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1689321523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ASTER ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362960",
            "telephone_number": "805-407-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W TELEGRAPH RD",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930605400",
            "telephone_number": "805-805-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUNIGA",
        "first_name": "JOHNNY",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "565850154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jzuniga@jacksonhousesp.com",
            "affiliation": "N",
            "endpointDescription": "jzuniga@jacksonhousesp.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "811 W Telegraph Rd",
            "city": "Santa Paula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930605400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Paula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.