Herman Sardjono MD Medical Corp
NPI 1700890167ActiveOrganization· Internal Medicine· Arcadia, CA
Internal Medicine in Arcadia, California, registered in NPPES in July 2006. The authorized official on file is Herman Sardjono Md, MD PA, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1700890167 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 28, 2006 |
| Last updated in NPPES | Nov 12, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | A41793 | 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) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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