Organization Active NPI

Life Transformer

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rancho Cucamonga, CA
National Provider Identifier
1760356794
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LIFE TRANSFORMER
Practice address
7365 Carnelian St Ste 232
Rancho Cucamonga, CA 91730-1136
Phone
(626) 423-9193
NPI assigned
Oct 2, 2025
Last updated
Oct 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Josephine Chu, LMFTNPI 1689018111
Title
Ceo
Phone
(626) 423-9193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

7365 Carnelian St Ste 232
Rancho Cucamonga, CA 91730-1136

Mailing address

12672 Limonite Ave Ste 3E
Eastvale, CA 92880-4208
Phone (626) 423-9193

National Provider Directory

National Provider Directory
Tax ID family
Life Transformer2 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.

Locations

12672 Limonite Ave
Ste 3E
Eastvale, CA 92880
Phone (951) 833-0502

7365 Carnelian St
Ste 232
Rancho Cucamonga, CA 91730
Phone (626) 423-9193

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1760356794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12672 LIMONITE AVE STE 3E",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928804208",
            "telephone_number": "626-423-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7365 CARNELIAN ST STE 232",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301136",
            "telephone_number": "626-423-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TRANSFORMER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-423-9193",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Oct 2, 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.