IRA PAULA WARDONO M.D.
NPI 1134324148
Pediatrics in Tarzana, CA

Q: What is Ira Wardono's NPI number?

The NPI number for Ira Wardono is 1134324148. It was assigned to this individual provider in the NPPES registry on June 19, 2007. The provider is also known as Ira Paula Yusup M.D..

Q: What is Ira Wardono's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ira Wardono was last updated on July 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 19, 2007PECOS Enrolled

18321 CLARK ST, TARZANA, CA 91356(818) 881-0800 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ira Paula Wardono M.d. NPPES

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

IRA PAULA WARDONO M.D. (NPI 1134324148) is an individual pediatrics provider in Tarzana, California, licensed in California (A112875) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bakersfield.

NPPES Registry Identity

NPI1134324148

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameIRA PAULA WARDONOCredential: M.D.

Location Address18321 CLARK STTarzana, CA 91356-3501

Mailing Address6430 W Sunset Blvd, Suite 600Los Angeles, CA 90028-7900 · (323) 361-2337 · Fax (323) 361-8491

Phone(818) 881-0800

Sole ProprietorNo

Enumeration DateJune 19, 2007

Last NPPES UpdateJuly 1, 2020

NPPES CertifiedJuly 1, 2020

✔ NPI 1134324148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in CA · A112875✔ Licensed in PA · MD431846

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.

18321 CLARK ST, Tarzana, CA 91356

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Other Names 1

Former Name (1)Ira Paula Yusup M.d.

Secondary Practice Location 1

Location 1420 34th StBakersfield, CA 93301-2237 · Phone (323) 361-1677 · Fax (323) 361-8566

Other Identifiers 3

Other824184PA · Fph

Other001993563PA · Blue Shield

Medicaid1020378080001PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ira Paula Wardono M.d. 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 91356 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. JONATHAN ANDREW PRINCE M.D.

Emergency Medicine