1. Home
  2. Directory
  3. California
  4. Ontario
  5. Nurse Practitioner
  6. NPI Profile

PATRICIA WANGSADIPURA NP
NPI 1972968188
Nurse Practitioner in Ontario, CA

Active since December 15, 2015PECOS Enrolled
437 N EUCLID AVE, ONTARIO, CA 91762(909) 988-2555(909) 460-6600 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 6, 2026, Jun 22, 2021, Jun 13, 2018 and 2 more (5 updates tracked since 2015).

About Patricia Wangsadipura Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICIA WANGSADIPURA NP (NPI 1972968188) is an individual nurse practitioner in Ontario, California, licensed in California (95000769) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972968188
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePATRICIA WANGSADIPURACredential: NP
Location Address437 N EUCLID AVEOntario, CA 91762-3456
Mailing Address437 N Euclid AveOntario, CA 91762-3456 · (909) 988-2555 · Fax (909) 460-6600
Phone(909) 988-2555
Fax(909) 460-6600
Sole ProprietorNo
Enumeration DateDecember 15, 2015
Last NPPES UpdateAugust 6, 20265 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1972968188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95000769
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
437 N EUCLID AVE, Ontario, CA 91762
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia Wangsadipura Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Patricia Wangsadipura reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Unicare Community Health Center, Inc.
0.6 mi
Federally Qualified Health Center (FQHC)
437 N EUCLID AVE
Ontario, CA 91762
  • Reassigned Medicare billing, California enrollment
  • 119 clinicians in this Medicare group
NPI 1710309513 (909) 988-2555
Southern California Permanente Medical Group
6.2 mi
Clinical Medical Laboratory
13000 PEYTON DR
Chino Hills, CA 91709
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1396287082 (888) 750-0036

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91762 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL NUGUID TARUC-CARLOS NURSE PRACTITIONER
Nurse Practitioner (Family)
437 N EUCLID AVE
ONTARIO, CA 91762
San Bernardino County (909) 988-2555
TDSM INC
Pharmacy (Community/Retail Pharmacy)
437 N EUCLID AVE, SUITE B
ONTARIO, CA 91762
San Bernardino County (909) 983-0999
HEATHER WONG PAC
Physician Assistant
437 N EUCLID AVE
ONTARIO, CA 91762
San Bernardino County (909) 988-2555
WILLIAM CRAIG PALEY D.O.
Family Medicine
437 N EUCLID AVE
ONTARIO, CA 91762
San Bernardino County (909) 988-2555
KRYSTAL BERMUDEZ UONG FNP-C
Nurse Practitioner (Family)
437 N EUCLID AVE
ONTARIO, CA 91762
San Bernardino County (909) 988-2555
MS. JENNIFER VILLALBA MSW, LCSW
Social Worker (Clinical)
437 N EUCLID AVE
ONTARIO, CA 91762
San Bernardino County (909) 378-5840
DR. VACHE CHAKMAKIAN M.D.
Family Medicine
437 N EUCLID AVE
ONTARIO, CA 91762
San Bernardino County (909) 988-2555
NAILA MUBASHAR M.D
Family Medicine
437 N EUCLID AVE
ONTARIO, CA 91762
San Bernardino County (909) 988-2555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Wangsadipura's NPI number?

The NPI number for Patricia Wangsadipura is 1972968188. It was assigned to this individual provider in the NPPES registry on December 15, 2015.

Where is Patricia Wangsadipura located?

Patricia Wangsadipura practices at 437 N Euclid Ave, Ontario, CA 91762. The listed phone number is (909) 988-2555.

What is Patricia Wangsadipura's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Patricia Wangsadipura enrolled in Medicare?

Yes. Patricia Wangsadipura is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Patricia Wangsadipura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Wangsadipura reassigns Medicare benefits to 2 organizations: Unicare Community Health Center, Inc. (Ontario, CA) and Southern California Permanente Medical Group (Chino Hills, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patricia Wangsadipura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Patricia Wangsadipura was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.