Organization Active NPI

Daisy Springs, LLC

  • Assisted Living Facility
  • Fontana, CA
National Provider Identifier
1104796788
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DAISY SPRINGS, LLC
Practice address
6749 Regal Park Dr
Fontana, CA 92336-5503
Phone
(909) 320-7320
NPI assigned
Nov 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mehrunnisa Latif
Title
Licensee / Administrator
Phone
(909) 272-2998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

6749 Regal Park Dr
Fontana, CA 92336-5503

Mailing address

6749 Regal Park Dr
Fontana, CA 92336-5503
Phone (909) 320-7320

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1104796788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6749 REGAL PARK DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365503",
            "telephone_number": "909-320-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6749 REGAL PARK DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365503",
            "telephone_number": "909-320-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAISY SPRINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "LATIF",
        "authorized_official_first_name": "MEHRUNNISA",
        "authorized_official_title_or_position": "LICENSEE / ADMINISTRATOR",
        "authorized_official_telephone_number": "909-272-2998"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.