Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sunroot Psychiatric Wellness, a Professional Nursing Corporation

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1952229130

Sunroot Psychiatric Wellness, a Professional Nursing Corporation is a Psychiatric/Mental Health Nurse Practitioner in Lakeside, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

12307 Willow Rd
Lakeside, CA 92040-1426
Phone: (619) 792-0513
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1952229130
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenna Fazio — Ceo · (619) 792-0513
NPI enumeratedJuly 7, 2026
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026
Mailing address2108 N St Ste N, Sacramento, CA 95816-5712