Peter Sumarsono Professional Dental Corporation
NPI 1326443920ActiveOrganization· Preferred Provider Organization· Irvine, CA
Preferred Provider Organization in Irvine, California, registered in NPPES in October 2014. The authorized official on file is Caroline Sumarsono, Office Manager.
Overview
| NPI | 1326443920 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 27, 2014 |
| Last updated in NPPES | Oct 27, 2014 |
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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