Organization Active NPI

Opulise LLC

  • Case Management Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1639073109
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
OPULISE LLC
Practice address
9431 Haven Ave Ste 100-1049
Rancho Cucamonga, CA 91730-5878
Phone
(442) 473-9345
NPI assigned
Oct 7, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
Renita Lois Adira, SUDRC III
Title
Manager
Phone
(442) 473-9345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

9431 Haven Ave Ste 100-1049
Rancho Cucamonga, CA 91730-5878

Mailing address

9431 Haven Ave
Suite 100 PMB 1049
Rancho Cucamonga, CA 91730
Phone (442) 473-9345

NPI Registry JSON

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1639073109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9431 HAVEN AVE",
            "address_2": "SUITE 100 PMB 1049",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "442-473-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9431 HAVEN AVE STE 100-1049",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305878",
            "telephone_number": "442-473-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPULISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "ADIRA",
        "authorized_official_first_name": "RENITA",
        "authorized_official_middle_name": "LOIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "442-473-9345",
        "authorized_official_credential": "SUDRC III"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "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 Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.