Wuri Trihastuti Wimboprasetyo, RCP

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

38700 Issued in CA

Practice address

27300 Iris Ave
Moreno Valley, CA 92555-4802

Phone

(951) 243-0811

NPI assigned

Nov 2, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541203200000",
    "number": "1659849073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36853 BAY HILL DR",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922238015",
            "telephone_number": "661-210-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27300 IRIS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554802",
            "telephone_number": "951-243-0811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36853 Bay Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "CA",
            "postal_code": "922238015",
            "country_code": "US",
            "telephone_number": "661-210-6227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIMBOPRASETYO",
        "first_name": "WURI",
        "middle_name": "TRIHASTUTI",
        "credential": "RCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "CA",
            "license": "38700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilshire Oncology Medical Group Inc
• Anna Maria Wilson, MSN, ACNP
• Erica G Wilson, PH.D.
• Jessica N Wilson
• Karen Sadewater Wilson
• Ryan Windemuth, M.D
• Darlene Delia Denise Winston, AMFT
• Donna Grace Wirth
• Devi Sophia Wise, LCSW
• Wisr Ministries Inc.

• Registered Respiratory Therapist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Registered Respiratory Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2018; 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.