LEANNA KIMBERLY WONOPRABOWO MD
NPI 1124558838
Family Medicine in Los Angeles, CA

Q: What is Leanna Wonoprabowo's NPI number?

The NPI number for Leanna Wonoprabowo is 1124558838. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Q: What is Leanna Wonoprabowo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 14, 2017PECOS Enrolled

5427 WHITTIER BLVD, LOS ANGELES, CA 90022(888) 499-9303 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 12, 2021, Jun 14, 2017 (2 updates tracked since 2017).

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About Leanna Kimberly Wonoprabowo Md NPPES

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

LEANNA KIMBERLY WONOPRABOWO MD (NPI 1124558838) is an individual family medicine provider in Los Angeles, California, licensed in California (A159439) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124558838

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameLEANNA KIMBERLY WONOPRABOWOCredential: MD

Location Address5427 WHITTIER BLVDLos Angeles, CA 90022-4101

Mailing Address5427 Whittier BlvdLos Angeles, CA 90022-4101 · (888) 499-9303

Phone(888) 499-9303

Sole ProprietorNo

Enumeration DateJune 14, 2017

Last NPPES UpdateJuly 12, 20212 updates tracked since enumeration

NPPES CertifiedJuly 12, 2021

✔ NPI 1124558838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A159439

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5427 WHITTIER BLVD, Los Angeles, CA 90022

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leanna Kimberly Wonoprabowo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90022 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. MARIA DEL ROSARIO PENALOZA M.D.

Family Medicine