Active NPI
Northstar Residential Care
- Assisted Living Facility
- San Bernardino, CA
National Provider Identifier
1619887122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- NORTHSTAR RESIDENTIAL CARE
- Practice address
- 2665 W White Pine Ave
San Bernardino, CA 92407-0209 - Phone
- (909) 904-1096
- NPI assigned
- Sep 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yesenia Bonilla, RN
- Title
- Cfo
- Phone
- (909) 904-1096
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
2665 W White Pine Ave
San Bernardino, CA 92407-0209
Mailing address
2665 W White Pine Ave
San Bernardino, CA 92407-0209
Phone (909) 904-1096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788825600000",
"number": "1619887122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2665 W WHITE PINE AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924070209",
"telephone_number": "909-904-1096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2665 W WHITE PINE AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924070209",
"telephone_number": "909-904-1096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHSTAR RESIDENTIAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A",
"authorized_official_last_name": "BONILLA",
"authorized_official_first_name": "YESENIA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "909-904-1096",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.