WURI TRIHASTUTI WIMBOPRASETYO (NPI# 1659849073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659849073 |
| Entity Type | Individual |
| Full Name | WURI TRIHASTUTI WIMBOPRASETYO |
| Credential | RCP |
| Practice Address |
27300 Iris Ave Moreno Valley CA 92555-4802 |
| Mailing Address |
36853 Bay Hill Dr Beaumont CA 92223-8015 |
| Practice Telephone | 9512430811 |
| Mailing Telephone | 6612106227 |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 227900000X | Respiratory Therapist, Registered | 38700 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 36853 Bay Hill Dr, Beaumont, CA 922238015 | 6612106227 |
| Street Address |
27300 IRIS AVE |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92555-4802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629018460 | Emergency Physicians Medical Group, Inc | Emergency Medicine | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2006-06-08 |
| 1881238905 | Hannah Marie Hughes | Dietitian, Registered | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2019-10-31 |
| 1851856934 | Jamie Phillips | Allergy & Immunology | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2019-02-04 |
| 1396214631 | Surjit Gill | Respiratory Therapist, Registered | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2018-11-15 |
| 1639647001 | Lizette Patterson | Respiratory Therapist, Registered | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2018-11-05 |
| 1124596416 | Soudabeh Soheili | Respiratory Therapist, Registered | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2018-11-05 |
| 1730656208 | Joel Macaraig Dalangin | Respiratory Therapist, Certified | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2018-11-01 |
| 1861968075 | Nabeel Aslam | Respiratory Therapist, Certified | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2018-10-16 |
| 1649773243 | Jonathan D Lo | Pharmacist | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2018-03-10 |
| 1528570991 | Mariah Emily Mcreynolds | Physician Assistant | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2017-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817935 | Jillian Mika Ogata | Social Worker | Riverside University Health System, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2020-10-05 |
| 1114549144 | Providence Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 11165 Bonnie View Ave, Moreno Valley, CA 92555 | 2020-05-13 |
| 1720645096 | Shahida Nawaz | Non-emergency Medical Transport (VAN) | 26528 Primrose Way, Moreno Valley, CA 92555 | 2019-05-22 |
| 1679139828 | Moses Lee | Student in an Organized Health Care Education/Training Program | Department of Orthopaedic Surgery Rm. B2042 Ruhs-mc, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2019-05-14 |
| 1215419668 | Johannes Wattimena | Counselor | 26624 Saffron Circle, Moreno Valley, CA 92555 | 2018-09-02 |
| 1437676939 | Aleksandra Vargas | Behavioral Analyst | 12549 Atherton Dr, Moreno Valley, CA 92555 | 2017-08-25 |
| 1063938603 | Anthony I Odimegwu | Nurse Practitioner | 26062 Bercaw Ct, Moreno Valley, CA 92555 | 2017-08-16 |
| 1073036703 | Karen Parker | Licensed Psychiatric Technician | 12944 Dolomite Lane, Moreno Valley, CA 92555 | 2017-07-25 |
| 1861923674 | Elena Vizcaino | Behavior Technician | 15670 Turnberry St, Moreno Valley, CA 92555 | 2017-03-23 |
| 1154744522 | Nancy Chivichon | Dietitian, Registered | 28648 Avenue Ave., Moreno Valley, CA 92555 | 2014-01-21 |
| Find all providers in zip 92555 | ||||
| Taxonomy Code | 227900000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Registered |
| A Registered Respiratory Therapist (RRT) is an advanced therapist who has passed standardized written and clinical simulation examinations administered by the National Board for Respiratory Care (NBRC). In addition, to the certified therapist (CRT) entry level skills, RRTs have advanced education and training in patient assessment, in the development and modification of patient care plans, and in assuring the appropriate utilization of respiratory care resources. An RRT is a graduate of an associate or baccalaureate degree producing educational programs approved by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) and where applicable, is licensed by the state and is practicing within the scope of that license. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457831307 | Lisa Marie Mcclain | Respiratory Therapist, Registered | 27300 Iris Ave Rm 2415, Moreno Valley, CA 92555-4802 | 2018-08-20 |
| 1396214631 | Surjit Gill | Respiratory Therapist, Registered | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2018-11-15 |
| 1639647001 | Lizette Patterson | Respiratory Therapist, Registered | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2018-11-05 |
| 1346717105 | Bryan Murray | Respiratory Therapist, Registered | 27300 Iris Avenue, Moreno Valley, CA 92555 | 2018-10-30 |
| 1447733423 | Fernando H Avila Jr. | Respiratory Therapist, Registered | 27200 Iris Ave, Moreno Valley, CA 92555-4803 | 2018-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193219 | Marta Urena | Respiratory Therapist, Registered | 647 W 41st Pl, Los Angeles, CA 90037-2022 | 2020-10-26 |
| 1164036018 | Eddie Blackmon IIi | Respiratory Therapist, Registered | 25820 Normandie Ave, Harbor City, CA 90710 | 2020-09-08 |
| 1972117182 | Andy Vo Osborne | Respiratory Therapist, Registered | 9333 E Imperial High Way, Downey, CA 90242 | 2020-09-04 |
| 1275144289 | Christian Joseph Olalia Calo | Respiratory Therapist, Registered | 2214 Cormorant Dr, Fairfield, CA 94533-2541 | 2020-08-13 |
| 1861002578 | Jung Hoon Hur | Respiratory Therapist, Registered | 3941 Prestwick Ln, Palmdale, CA 93551-5380 | 2020-08-06 |
| 1780200568 | Obaldina Ramos | Respiratory Therapist, Registered | 2018 E Yale St Apt B, Ontario, CA 91764-6813 | 2020-06-17 |
| 1518580919 | Jonathan Gonzalez | Respiratory Therapist, Registered | 1200 N State St # M, Los Angeles, CA 90033-1029 | 2020-05-20 |
| 1689297236 | Amanpreet Kaur | Respiratory Therapist, Registered | 24760 Eden Ave, Hayward, CA 94545-2392 | 2020-05-18 |
| 1770105058 | Erin Watts | Respiratory Therapist, Registered | 140 Ferrari Ave, San Jose, CA 95110-1409 | 2020-05-10 |
| 1477174340 | Ghassan Hussein | Respiratory Therapist, Registered | 4831 Parks Ave Apt 1, La Mesa, CA 91942-8694 | 2020-05-02 |
| Find all providers with the same taxonomy | ||||
| City | MORENO VALLEY |
| Zip Code | 92555 |
Please comment or provide details below to improve the information on WURI TRIHASTUTI WIMBOPRASETYO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.