Organization Active NPI

Sunnyside Family Health LLC

  • Pediatrics Physician
  • Kenner, LA
National Provider Identifier
1780728642
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
15344R Issued in LA
Legal business name
SUNNYSIDE FAMILY HEALTH LLC
Practice address
3645 Williams Blvd
#104
Kenner, LA 70065-3464
Phone
(504) 464-8883
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Jose L Veras Pola, MD
Title
Owner
Phone
(504) 464-8883

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 201033 LA
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 15344R LA Primary

Addresses

Primary practice location

3645 Williams Blvd
#104
Kenner, LA 70065-3464

Mailing address

3645 Williams Blvd
#104
Kenner, LA 70065-3464
Phone (504) 464-8883

National Provider Directory

National Provider Directory

Locations

3645 Williams Blvd
Ste 104
Kenner, LA 70065
Phone (504) 287-4257

4420 Conlin St
#305
Metairie, LA 70006
Phone (504) 455-8887

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1780728642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 WILLIAMS BLVD",
            "address_2": "#104",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653464",
            "telephone_number": "504-464-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 WILLIAMS BLVD",
            "address_2": "#104",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653464",
            "telephone_number": "504-464-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYSIDE FAMILY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "VERAS POLA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-464-8883",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "201033",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "15344R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.