MUDJIANTO CHANDRA, M.D., INC.
NPI 1083658827
Colon & Rectal Surgery in Tarzana, CA
NPI Status: Active since June 15, 2006
Contact Information
18370 BURBANK BLVD
SUITE 607
TARZANA, CA
ZIP 91356
Phone: (818) 708-1004
Fax: (818) 342-2141
- Organization
- Colon & Rectal Surgery
About MUDJIANTO CHANDRA, M.D., INC.
This page provides the complete NPI Profile along with additional information for Mudjianto Chandra, M.d., Inc., a provider established in Tarzana, California operating as a Colon & Rectal Surgery. The healthcare provider is registered in the NPI registry with number 1083658827 assigned on June 2006. The practitioner's primary taxonomy code is 208C00000X with license number A52198 (CA). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Mudjianto Chandra M.d. (President)
- NPI
- 1083658827
- Provider Name
- MUDJIANTO CHANDRA, M.D., INC.
- Entity Type
- Organization
- Location Address
- 18370 BURBANK BLVD SUITE 607 TARZANA, CA 91356
- Location Phone
- (818) 708-1004
- Location Fax
- (818) 342-2141
- Mailing Address
- 18370 BURBANK BLVD SUITE 607 TARZANA, CA 91356
- Mailing Phone
- (818) 708-1004
- Mailing Fax
- (818) 342-2141
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-15-2006
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Colon & Rectal Surgery
- Taxonomy Code
- 208C00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A52198
- License State
- CA
- Taxonomy Description
- A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | A52198 (CA) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A521980 | OTHER (01) | BLUE SHIELD | |
| P92709600 | OTHER (01) | OXFORD INSURANCE | |
| 00A521980 | MEDICAID (05) | CA | |
| A52198 | OTHER (01) | PRIVATE INSURANCE PIN |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1083658827, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
TARZANA, CA 91356
TARZANA, CA 91356
TARZANA, CA 91356
TARZANA, CA 91356
TARZANA, CA 91356
TARZANA, CA 91356
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083658827, enumerated as an "organization" on June 15, 2006.
The provider is located at 18370 BURBANK BLVD SUITE 607 TARZANA, CA 91356 and the phone number is (818) 708-1004.
Colon & Rectal Surgery with taxonomy code 208C00000X.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.
