Active NPI
Johnny Zuniga III
- Mental Illness Community Based Residential Treatment Facility
- Santa Paula, CA
National Provider Identifier
1689321523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 565850154
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 565850154 | CA | MD | Mental 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.