Herman Sardjono, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A41793 Issued in CA

Practice address

72 W Las Tunas Dr
Arcadia, CA 91007

Phone

(626) 821-5305

Fax

(626) 821-0141

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Internal MedicineAlso: Family Practice

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Happy Home Health Services Home health agency, Arcadia, CA, CCN 059173

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Herman Sardjono MD Medical Corp

  • Internal Medicine Physician
  • Arcadia, CA
  • NPI 1700890167
  Medicare reassignment
• Ahmc Garfield Medical Center LP

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1730171265
  NPD (past)
• Ahmc San Gabriel Valley Medical

  • Skilled Nursing Facility
  • San Gabriel, CA
  • NPI 1710174818
  NPD (past)

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

• Happy HHA, Inc.

  • Home Health Agency
  • Arcadia, CA
  • NPI 1184804825
  Care Compare affiliation

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1225142128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 LAS TUNAS DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910078565",
            "telephone_number": "626-821-5305",
            "fax_number": "626-821-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 W LAS TUNAS DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "91007",
            "telephone_number": "626-821-5305",
            "fax_number": "626-821-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDJONO",
        "first_name": "HERMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A41793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A417930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mirna Santana
• Maria R. Santos-Montemayor, MD
• Pratap Saraf, M.D.
• Andrea Aretha Saraswati, FNP
• Neil Sardesai, MD
• Claire Elise Savin, PT
• Daniel Savo
• Jordan Richard Sayegh, DC
• Richard Sayegh, D.C.,Q.M.E.,C.M.U.A.
• J'Lani Scarborough

• Internal Medicine Physician in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.