Active NPI
Sunrise Community Outreach Center Inc
- Medical Specialty Clinic/Center
- Los Angeles, CA
National Provider Identifier
1972300218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- SUNRISE COMMUNITY OUTREACH CENTER INC
- Practice address
- 2105 Beverly Blvd Ste 219
Los Angeles, CA 90057-2278 - Phone
- (213) 483-2655
- NPI assigned
- Feb 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Rosemarie Ann Ashamalla
- Title
- Executive Director
- Phone
- (323) 816-1505
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
2105 Beverly Blvd Ste 219
Los Angeles, CA 90057-2278
Mailing address
2105 Beverly Blvd Ste 219
Los Angeles, CA 90057-2278
Phone (213) 483-2655
Other names 1
- Sunrise Outreach
National Provider Directory
National Provider DirectoryLocations
2105 Beverly Blvd
Ste 219
Los Angeles, CA 90057
Phone (213) 483-2655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740441600000",
"number": "1972300218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 BEVERLY BLVD STE 219",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572278",
"telephone_number": "213-483-2655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 BEVERLY BLVD STE 219",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572278",
"telephone_number": "213-483-2655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE COMMUNITY OUTREACH CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-25",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A",
"authorized_official_last_name": "ASHAMALLA",
"authorized_official_first_name": "ROSEMARIE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "323-816-1505",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sunrise Outreach",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.