Peter Sumarsono Professional Dental Corporation
NPI 1033596788ActiveOrganization· Preferred Provider Organization· Huntington Beach, CA
Preferred Provider Organization in Huntington Beach, California, registered in NPPES in May 2015. The authorized official on file is Peter Robertson Sumarsono, DDS, Dentist.
Overview
| NPI | 1033596788 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 1, 2015 |
| Last updated in NPPES | May 1, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 40736 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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