Organization Active NPI

PNP Estate LLC

  • Assisted Living Facility
  • Riverside, CA
National Provider Identifier
1831919190
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PNP ESTATE LLC
Practice address
5430 Sierra Vista Ave
Riverside, CA 92505-3114
Phone
(213) 316-6962
NPI assigned
Oct 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Phuong Phat
Title
Secretary
Phone
(213) 316-6962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5430 Sierra Vista Ave
Riverside, CA 92505-3114

Mailing address

12495 Limonite Ave Ste 1042
Eastvale, CA 91752-2457
Phone (213) 316-6962

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1831919190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12495 LIMONITE AVE STE 1042",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917522457",
            "telephone_number": "213-316-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 SIERRA VISTA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053114",
            "telephone_number": "213-316-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNP ESTATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "PHAT",
        "authorized_official_first_name": "PHUONG",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "213-316-6962"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.