Natalie Maya Sardjono, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A130725 Issued in CA

Practice address

2810 Long Beach Blvd FL 2
Long Beach, CA 90806-1558

Phone

(562) 933-7880

NPI assigned

May 18, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Maya Sardjono Hsieh Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Breast Imaging Radiologists a Medical Group IncGroup PAC ID 5294747085, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485
• Uci Health-Orange Hospital, Orange, CA, CCN 050348

Merit-based Incentive Payment System (MIPS)

Final score

79.84 of 100Reported as group

Quality

59.68

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Breast Imaging Radiologists, a Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Long Beach, CA
  • NPI 1104872605
  Medicare reassignment Care Compare group NPD
• Mink Radiologic Imaging Medical Associates, Inc.

  • Diagnostic Radiology Physician
  • Beverly Hills, CA
  • NPI 1265485015
  NPD
• Long Beach Memorial Medical

  • Community/Retail Pharmacy
  • Long Beach, CA
  • NPI 1891890158
  NPD (past)
• University of California Irvine

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Long Beach Memorial Medical

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1962442012
  Care Compare affiliation
• University of California Irvine

  • Urgent Care Clinic/Center
  • Irvine, CA
  • NPI 1518739309

  Hospital

  Care Compare affiliation
• University of California Irvine

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1003135989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 VILLAGE LN APT 3327",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900942847",
            "telephone_number": "562-933-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 LONG BEACH BLVD FL 2",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061558",
            "telephone_number": "562-933-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDJONO",
        "first_name": "NATALIE",
        "middle_name": "MAYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A130725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYA",
            "last_name": "HSIEH",
            "middle_name": "SARDJONO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gale Sapstein
• Michael Saksam Sar, LCSW
• Nicholas Saracho
• Sarbpaul S Bhalla, MD a Medical Corporation
• Sohail Akhter Sardar
• Precious Sarei
• Kailyn Ashley Sargent Bacon
• Nona Sark, MA, LMFT
• Kwabena Sarkodie-Mensah, LVN
• Ramina Sarmicanic

• Diagnostic Radiology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.