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TARATHYA BUNGA DHARMASAPUTRA MD
NPI 1093387672
Pediatrics in Victorville, CA

Active since July 13, 2021
15237 ELEVENTH ST STE A, VICTORVILLE, CA 92395(760) 662-7420(760) 513-9000 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2025, Aug 16, 2024, Jul 25, 2024 and 1 more (4 updates tracked since 2021).

About Tarathya Bunga Dharmasaputra Md NPPES

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

TARATHYA BUNGA DHARMASAPUTRA MD (NPI 1093387672) is an individual pediatrics provider in Victorville, California, licensed in California (A195428) and active in the NPI registry since July 2021. She maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1093387672
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTARATHYA BUNGA DHARMASAPUTRACredential: MD
Location Address15237 ELEVENTH ST STE AVictorville, CA 92395-3736
Mailing Address15237 Eleventh St Ste AVictorville, CA 92395-3736 · (760) 662-7420 · Fax (718) 963-7957
Phone(760) 662-7420
Fax(760) 513-9000
Sole ProprietorNo
Enumeration DateJuly 13, 2021
Last NPPES UpdateSeptember 8, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1093387672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A195428
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
15237 ELEVENTH ST STE A, Victorville, CA 92395
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Secondary Practice Location 1

Location 1760 Broadway Dept OfBrooklyn, NY 11206-5317 · Phone (718) 963-7956 · Fax (718) 963-7957

Other Providers at the Same Location NPPES 4

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

VICTORVILLE PEDIATRICS
Pediatrics
15237 ELEVENTH ST STE A
VICTORVILLE, CA 92395
San Bernardino County (909) 823-8000
MR. SIWEI JIANG FNP-C
Nurse Practitioner (Family)
15237 ELEVENTH ST STE A
VICTORVILLE, CA 92395
San Bernardino County (760) 662-7420
DR. RAY TOJINO BOBILA MD
Pediatrics
15237 ELEVENTH ST STE A
VICTORVILLE, CA 92395
San Bernardino County (760) 662-7420
MARCUS ANTHONY BARBER MD
Pediatrics
15237 ELEVENTH ST STE A
VICTORVILLE, CA 92395
San Bernardino County (909) 823-8000

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 Tarathya Dharmasaputra's NPI number?

The NPI number for Tarathya Dharmasaputra is 1093387672. It was assigned to this individual provider in the NPPES registry on July 13, 2021.

Where is Tarathya Dharmasaputra located?

Tarathya Dharmasaputra practices at 15237 Eleventh St Ste A, Victorville, CA 92395. The listed phone number is (760) 662-7420.

What is Tarathya Dharmasaputra's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Tarathya Dharmasaputra was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.