Organization Active NPI

Phoenix Sands LLC

  • Respite Care
  • Berkeley, CA
National Provider Identifier
1871427757
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
PHOENIX SANDS LLC
Practice address
2700 San Pablo Ave Apt 102
Berkeley, CA 94702-2260
Phone
(510) 417-0551
NPI assigned
Jun 9, 2026
Last updated
Jun 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Joshua Cantero
Title
Owner
Phone
(510) 417-0551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

2700 San Pablo Ave Apt 102
Berkeley, CA 94702-2260

Mailing address

2700 San Pablo Ave Apt 102
Berkeley, CA 94702-2260
Phone (510) 417-0551

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1871427757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 SAN PABLO AVE APT 102",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022260",
            "telephone_number": "510-417-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SAN PABLO AVE APT 102",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022260",
            "telephone_number": "510-417-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX SANDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "CANTERO",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-417-0551"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.