Sunnyside Unified School District

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

License

0292 Issued in AZ

Legal business name

SUNNYSIDE UNIFIED SCHOOL DISTRICT

Practice address

1725 E Bilby Rd
Tucson, AZ 85706-4430

Phone

(520) 545-3000

NPI assigned

Jun 7, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Dean Latta, ATC/L

Title

Athletic Trainer

Phone

(520) 405-1512

Specialties & licenses 1

Addresses

Other names 1

• Sunnyside High School Other name

Locations

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1942659271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E BILBY RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857064430",
            "telephone_number": "520-545-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E BILBY RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857064430",
            "telephone_number": "520-545-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYSIDE UNIFIED SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "LATTA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "ATHLETIC TRAINER",
        "authorized_official_telephone_number": "520-405-1512",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATC/L"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "AZ",
            "license": "0292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnyside High School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Sunnyside Medicenter PC
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• Sunrise Medical Group, PC
• Sunrise Mental Health LLC
• Sunrise Surgical Assiting LLC
• Sunset Falls Healthcare LLC

• Student Health Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Student Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.