Organization Active NPI

WP Enterprise LLC

  • Assisted Living Facility
  • Jurupa Valley, CA
National Provider Identifier
1831804657
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WP ENTERPRISE LLC
Practice address
11860 Confluence Dr
Jurupa Valley, CA 91752-9269
Phone
(657) 722-9269
NPI assigned
Jan 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Patsara Chantharaseth
Title
Licensee
Phone
(657) 722-9269

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

11860 Confluence Dr
Jurupa Valley, CA 91752-9269

Mailing address

6305 Nobury CT
Eastvale, CA 92880-0751
Phone (657) 722-7259

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1831804657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 NOBURY CT",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928800751",
            "telephone_number": "657-722-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11860 CONFLUENCE DR",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "917529269",
            "telephone_number": "657-722-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WP ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "CHANTHARASETH",
        "authorized_official_first_name": "PATSARA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "657-722-9269"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jurupa Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.