PATRICIA WANGSADIPURA (NPI# 1972968188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972968188 |
| Entity Type | Individual |
| Full Name | PATRICIA WANGSADIPURA |
| Credential | NP |
| Practice Address |
1151 E Walnut St Ontario CA 91761-6155 |
| Mailing Address |
625 Fair Oaks Ave #270 South Pasadena CA 91030-5801 |
| Practice Telephone | 9094670797 |
| Practice Fax Number | 8777788097 |
| Mailing Telephone | 6263462455 |
| Mailing Fax Number | 6266393005 |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2018-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95000769 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1151 E WALNUT ST |
| City | ONTARIO |
| State | CA |
| Zip Code | 91761-6155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841229655 | Nawal Kamel | Pediatrics | 1151 E Walnut St, Ontario, CA 91761-6155 | 2006-07-02 |
| 1215494257 | Unicare Community Health Center Inc | Clinic/Center | 1151 E Walnut St, Ontario, CA 91761-6155 | 2019-02-26 |
| 1710478177 | Joseph M Molina Md Professional Corporation - Southern California | Obstetrics & Gynecology | 1151 E Walnut St, Ontario, CA 91761 | 2018-05-22 |
| 1295138659 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 1151 E Walnut St, Ontario, CA 91761-6155 | 2014-09-30 |
| 1568734267 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 1151 E Walnut St, Ontario, CA 91761-6155 | 2012-01-27 |
| 1801054820 | Charmaine Yolanda Collins-cepeda | Physician Assistant | 1151 E Walnut St, Ontario, CA 91761-6155 | 2008-05-27 |
| 1659486991 | Molina Healthcare of California | Internal Medicine | 1151 E Walnut St, Ontario, CA 91761-6155 | 2006-08-19 |
| 1669403168 | Urmila M Patel | Pediatrics | 1151 E Walnut St, Ontario, CA 91761-6155 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418163 | Blue Oak Counseling Services, Inc. | Counselor | 3200 Guasti Rd #100, Ontario, CA 91761 | 2020-08-19 |
| 1578115986 | Hadel Awad | Behavior Technician | 1801 South Excise Ave, 116, Ontario, CA 91761 | 2019-07-15 |
| 1265902845 | Stephanie Escalante | Behavior Technician | 1801 S. Excise Ave. #116, Ontario, CA 91761 | 2018-11-27 |
| 1801395595 | Optimum Bio Lab Inc | Clinical Medical Laboratory | 1910 S Archibald Ave #d, Ontario, CA 91761 | 2018-02-07 |
| 1871010033 | Evelyn Esther Martinez | Case Manager/Care Coordinator | 1556 S. Sultana Ave., Ontario, CA 91761 | 2017-08-28 |
| 1750812525 | Building Bridges Christian Counseling | Marriage & Family Therapist | 3200 Guasti Road, Suite 100, Ontario, CA 91761 | 2017-03-23 |
| 1659829513 | Gregory J Musselman | Physician Assistant | 3550 E Philadelphia St Ste 150, Ontario, CA 91761 | 2016-09-20 |
| 1700332327 | Ramon Cardenas | Registered Nurse | 721 E. Banyan St., Ontario, CA 91761 | 2016-09-01 |
| 1023565660 | Breanna Gonzalez | Occupational Therapist | 3449 S. Wrangler Pl., Ontario, CA 91761 | 2016-09-01 |
| 1326491507 | Sasha Khawaja | Specialist/Technologist | 1500 So. Haven Ave, Ste 190, Ontario, CA 91761 | 2016-07-22 |
| Find all providers in zip 91761 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104396274 | Family Health Np Immediate Care, Pllc | Nurse Practitioner | 6280 Furnace Road, Ontario, NY 14519 | 2018-11-30 |
| 1467963165 | Chinomso Mpumechi | Nurse Practitioner | 1520 N Mountain Ave Ste 128, Ontario, CA 91762-1132 | 2017-10-20 |
| 1447660873 | Agha Zulfequar Hayder | Nurse Practitioner | 1001 West 6th Street, Suite B., Ontario, CA 91762 | 2014-05-07 |
| 1710275425 | Sandra M. Zavala | Nurse Practitioner | 3401 Centre Lake Dr Ste 470, Ontario, CA 91761-1254 | 2011-07-14 |
| 1548574841 | Yolanda Berumen | Nurse Practitioner | 2100 S Cypress Ave Apt 902, Ontario, CA 91762-6230 | 2010-07-29 |
| 1447322672 | Stefanie Ann Varela | Nurse Practitioner | 2295 S Vineyard Ave Bldg D, Ontario, CA 91761 | 2006-11-14 |
| 1336123710 | Lynne W Smith | Nurse Practitioner | 1750 W 4th St, Ontario, OH 44906-1770 | 2005-11-30 |
| 1245226000 | Hope Posadas Santiago | Nurse Practitioner | 2618 Sherwin Creek Pl, Ontario, CA 91761-0207 | 2005-09-26 |
| 1184618860 | Debra Jean Alexander | Nurse Practitioner | 1008 Sw 4th Ave, Ontario, OR 97914-2128 | 2005-09-08 |
| 1841844503 | Deanna Sue Miller | Nurse Practitioner | 715 Richland Mall, Ontario, OH 44906-3802 | 2019-07-30 |
| Find all providers in ONTARIO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.