SUNBRIDGE PSYCH NPI 1376057802

NPI Information

  • NPI: 1376057802
  • Provider Name: SUNBRIDGE PSYCH
  • Classification: Clinical Nurse Specialist - 364SP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 30240 RANCHO VIEJO RD STE C1
    SAN JUAN CAPISTRANO, CA
    ZIP 92675
  • Phone: (949) 374-9245

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NPI Details

SUNBRIDGE PSYCH is a psychiatric/mental health clinical nurse specialist in San Juan Capistrano, CA. SUNBRIDGE PSYCH NPI is 1376057802. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30240 RANCHO VIEJO RD STE C1
SAN JUAN CAPISTRANO, CA
ZIP 92675-515
Phone: (949) 374-9245
Fax: (949) 751-2432

The provider's authorized official is Mary Ann Offenheiser .
The authorized official title is Psych Clinical Nurse Specialist and has the following contact phone number (949) 374-9245.

The enumeration date for this NPI number is 11/20/2017 and was last updated on 10/31/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1364SP0808XClinical Nurse SpecialistPsychiatric/Mental Health2458CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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