IRA PAULA WARDONO M.D.
NPI 1134324148
Pediatrics in Tarzana, CA
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
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ira Paula Wardono M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Ira Wardono reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90048
- Reassigned Medicare billing, California enrollment
- 2,118 clinicians in this Medicare group
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
- 1,281 clinicians in this Medicare group
Arvin, CA 93203
- Reassigned Medicare billing, California enrollment
- 21 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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 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..
Where is Ira Wardono located?
Ira Wardono practices at 18321 Clark St, Tarzana, CA 91356. The listed phone number is (818) 881-0800.
What is Ira Wardono's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Ira Wardono enrolled in Medicare?
Yes. Ira Wardono is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ira Wardono's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ira Wardono reassigns Medicare benefits to 3 organizations: Cedars-Sinai Medical Care Foundation (Los Angeles, CA), Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA) and Vanguard Medical Corporation (Arvin, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ira Wardono's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ira Wardono was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Ira Paula Wardono, M.D. · NPI 1134324148
Pediatrics physician in Tarzana, California. Individual provider, active in the CMS NPPES registry since June 19, 2007.
## Identity
- **NPI:** 1134324148 (Entity type: Individual)
- **Enumerated:** June 19, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A112875 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 18321 CLARK ST, Tarzana, CA 91356-3501
- **Phone:** (818) 881-0800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Cedars-Sinai Medical Care Foundation (NPI 1043826720, Los Angeles, CA); Children's Hospital Los Angeles Medical Group, Inc. (NPI 1265530653, Los Angeles, CA); Vanguard Medical Corporation (NPI 1942970124, Arvin, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2020
- **Other identifiers:** Other 824184 (PA); Other 001993563 (PA); Medicaid 1020378080001 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1134324148) · Data from the CMS NPPES public registry.