Individual provider · Type 1 NPI

Patricia Wangsadipura, NP

Nurse Practitioner · Ontario, CA

NPI number 1972968188 Active

Practice location

437 N Euclid Ave
Ontario, CA 91762-3456

Fax (909) 460-6600

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95000769 (CA)

Nurse Practitioner: (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 wit…

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About NPI 1972968188

Patricia Wangsadipura, NP's National Provider Identifier is 1972968188, issued on Dec 15, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ontario, CA. The record was last updated on Aug 6, 2026.