Organization Active NPI

WP Assisted Living LLC

  • Assisted Living Facility
  • Rancho Cucamonga, CA
National Provider Identifier
1114724424
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WP ASSISTED LIVING LLC
Practice address
9734 Walnut CT
Rancho Cucamonga, CA 91730-1446
Phone
(657) 722-9269
NPI assigned
Feb 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Patsara Choi
Title
Owner
Phone
(657) 722-9269

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

9734 Walnut CT
Rancho Cucamonga, CA 91730-1446

Mailing address

6305 Nobury CT
Eastvale, CA 92880-8567
Phone (657) 722-9269

National Provider Directory

National Provider Directory
Tax ID family
Green Olive Senior Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1114724424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 NOBURY CT",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928808567",
            "telephone_number": "657-722-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9734 WALNUT CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301446",
            "telephone_number": "657-722-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WP ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "PATSARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "657-722-9269"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.