Organization Active NPI

Sunrise Community Outreach Center Inc

  • Medical Specialty Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1972300218
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
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

Updated by the provider on Feb 25, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.