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SUNNYSIDE FAMILY HEALTH LLC
NPI 1780728642
Pediatrics in Kenner, LA

Active since February 16, 2007CLIA 19D1064168 · Waiver
3645 WILLIAMS BLVD, #104, KENNER, LA 70065(504) 464-8883 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Sunnyside Family Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNNYSIDE FAMILY HEALTH LLC (NPI 1780728642) is a healthcare organization registered as a pediatrics in Kenner, Louisiana and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through January 29, 2027 and lists Jose L Veras Pola, Owner, as its authorized official.

NPPES Registry Identity

NPI1780728642
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSUNNYSIDE FAMILY HEALTH LLC
Location Address3645 WILLIAMS BLVD, #104Kenner, LA 70065-3464
Mailing Address3645 Williams Blvd, #104Kenner, LA 70065-3464 · (504) 464-8883
Phone(504) 464-8883
Organization SubpartNo
Authorized OfficialJose L Veras PolaOwner · (504) 464-8883
Enumeration DateFebruary 16, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1780728642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in LA · 15344R
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 201033 (LA)

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D1064168

Sunnyside Family Health LLC · Metairie, LA
Active · expires Jan 29, 2027
CLIA Number19D1064168
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorJose L. Veras Pola
Laboratory Phone(504) 464-8883
Laboratory LocationSunnyside Family Health LLC4420 Conlin Street, Suite 305, Metairie, LA 70006
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA EWING HASZINGER, DDS
Dentist (General Practice)
3645 WILLIAMS BLVD, STE 103
KENNER, LA 70065
Jefferson Parish (504) 443-5882
DR. JESSICA ELISE TINGSTROM D.D.S.
Dentist
3645 WILLIAMS BLVD, SUITE 103
KENNER, LA 70065
Jefferson Parish (504) 443-5882

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunnyside Family Health LLC's NPI number?

The NPI number for Sunnyside Family Health LLC is 1780728642. It was assigned to this organization in the NPPES registry on February 16, 2007.

Where is Sunnyside Family Health LLC located?

Sunnyside Family Health LLC is located at 3645 Williams Blvd #104, Kenner, LA 70065. The listed phone number is (504) 464-8883.

What is Sunnyside Family Health LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Sunnyside Family Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D1064168) is associated with this NPI, valid through January 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sunnyside Family Health LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.