W.P.R. LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

W.P.R. LLC

Practice address

2733 Country Club Blvd Apt 87
Stockton, CA 95204-3975

Phone

(209) 276-8892

NPI assigned

Sep 12, 2018

Organization subpart

No

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

Authorized official

Name

Andrew Johnson

Title

President

Phone

(209) 276-8892

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601078400000",
    "number": "1760965081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9919 MARQUAND DR",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153808",
            "telephone_number": "206-201-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 COUNTRY CLUB BLVD APT 87",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952043975",
            "telephone_number": "209-276-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.P.R. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2020-09-26",
        "certification_date": "2020-09-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-276-8892"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anusha Vuppala, MD
• Mehmet Vural, MD
• Brian Vuu, DO
• Dinesh Vyas, MD
• Pooja Vyas, RDN
• Diane Namiko Wabe, R.PH.
• Leanne Wade, MT-BC
• Jordan Matthew Wafer
• Carrie I. Wager, CMT
• Edwin Walter Wager, MD

• Community/Behavioral Health Agency in Stockton, CA
• Providers in Stockton, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2020; 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.