Suncrest Cca

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUNCREST CCA

Practice address

12598 Central Ave Ste 201
Chino, CA 91710-3530

Phone

(909) 399-1122

NPI assigned

Mar 23, 2023

Organization subpart

No

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

Authorized official

Name

Magued Barsoom

Title

Licensee

Phone

(909) 399-1122

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1790488252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12598 CENTRAL AVE STE 201",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103530",
            "telephone_number": "909-399-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12598 CENTRAL AVE STE 201",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103530",
            "telephone_number": "909-399-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCREST CCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "BARSOOM",
        "authorized_official_first_name": "MAGUED",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "909-399-1122"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Suarez, BA
• Sudan Dental Corporation
• Jasmin Sullivan, PSYD
• Marguerite Gozun Sumadchat, PT
• Isabelle Sun
• Suncrest Home Health Services, Inc.
• Yun Sung, L.AC
• Superior Mental Wellness Inc
• Supriya D Mhaskar a Dental Corp
• Dragan Surlan, BS

• All providers in Chino, CA
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.