1. Home
  2. Directory
  3. California
  4. Tarzana
  5. Colon Rectal Surgery
  6. NPI Profile

MUDJIANTO CHANDRA, M.D., INC.
NPI 1083658827
Colon & Rectal Surgery in Tarzana, CA

Active since June 15, 2006
18370 BURBANK BLVD, SUITE 607, TARZANA, CA 91356(818) 708-1004(818) 342-2141 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Mudjianto Chandra, M.d., Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUDJIANTO CHANDRA, M.D., INC. (NPI 1083658827) is a healthcare organization registered as a colon & rectal surgery in Tarzana, California and active in the NPI registry since June 2006. The organization lists Mudjianto Chandra, President, as its authorized official.

NPPES Registry Identity

NPI1083658827
Entity TypeOrganization
Primary Taxonomy208C00000X
Legal Business NameMUDJIANTO CHANDRA, M.D., INC.
Location Address18370 BURBANK BLVD, SUITE 607Tarzana, CA 91356-2804
Mailing Address18370 Burbank Blvd, Suite 607Tarzana, CA 91356-2804 · (818) 708-1004 · Fax (818) 342-2141
Phone(818) 708-1004
Fax(818) 342-2141
Organization SubpartNo
Authorized OfficialMudjianto ChandraPresident · (818) 708-1004
Enumeration DateJune 15, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1083658827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in CA · A52198
Definition
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.
Also ListedSurgeryTaxonomy 208600000X · License A52198 (CA)
18370 BURBANK BLVD, Tarzana, CA 91356
Open in Google Maps ↗

Other Identifiers 4

Other00A521980Blue Shield
OtherP92709600Oxford Insurance
Medicaid00A521980CA
OtherA52198Private Insurance Pin

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLAS MICHAEL PANAGIOTIS, MD INC
Specialist
18370 BURBANK BLVD, 507
TARZANA, CA 91356
Los Angeles County (818) 774-9200
DR. JEFFREY PHILIP SALBERG M.D.
Internal Medicine
18370 BURBANK BLVD, STE 601
TARZANA, CA 91356
Los Angeles County (818) 996-5700
DR. JEFFREY WORK M.D.
Internal Medicine (Cardiovascular Disease)
18370 BURBANK BLVD, SUITE 707
TARZANA, CA 91356
Los Angeles County (818) 345-5580
LINDA LEA PERL ADATTO M.D.
Pediatrics
18370 BURBANK BLVD, SUITE 307
TARZANA, CA 91356
Los Angeles County (818) 996-6000
TARZANA PEDIATRIC MEDICAL GROUP INC
Pediatrics
18370 BURBANK BLVD, SUITE #204
TARZANA, CA 91356
Los Angeles County (818) 345-7792
ALAN FOZAILOFF M.D.
Internal Medicine (Nephrology)
18370 BURBANK BLVD, SUITE 211
TARZANA, CA 91356
Los Angeles County (818) 334-5750
DR. RICHARD C WONG M.D.
Internal Medicine (Cardiovascular Disease)
18370 BURBANK BLVD, SUITE 707
TARZANA, CA 91356
Los Angeles County (818) 345-5580
COMPREHENSIVE INFECTIOUS DISEASE CONSULTANTS A MEDICAL CORPORATION
Internal Medicine (Infectious Disease)
18370 BURBANK BLVD, STE 414
TARZANA, CA 91356
Los Angeles County (818) 506-3384

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mudjianto Chandra, M.D., Inc.'s NPI number?

The NPI number for Mudjianto Chandra, M.D., Inc. is 1083658827. It was assigned to this organization in the NPPES registry on June 15, 2006.

Where is Mudjianto Chandra, M.D., Inc. located?

Mudjianto Chandra, M.D., Inc. is located at 18370 Burbank Blvd Suite 607, Tarzana, CA 91356. The listed phone number is (818) 708-1004.

What is Mudjianto Chandra, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

When was this NPI record last updated?

The NPPES record for Mudjianto Chandra, M.D., Inc. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.