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DR. PAULUS L. SANTOSO M.D.
NPI 1154329373
Obstetrics & Gynecology - Obstetrics in Riverside, CA

Active since July 12, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 05D1107032 · Microscopy
6969 BROCKTON AVE, STE. A-B, RIVERSIDE, CA 92506(951) 530-8989(951) 530-8877 Get Directions Write a Review

NPPES record last updated: March 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2016, Feb 24, 2016 (2 updates tracked since 2016).

About Dr. Paulus L. Santoso M.d. NPPES

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

DR. PAULUS L. SANTOSO M.D. (NPI 1154329373) is an individual obstetrics provider in Riverside, California, licensed in California (A85478) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through October 26, 2027, and is a graduate of State University Of New York Downstate Medical Center (1998).

NPPES Registry Identity

NPI1154329373
Entity TypeIndividualMale
Primary Taxonomy207VX0000X
Provider Legal NameDR. PAULUS L. SANTOSOCredential: M.D.
Location Address6969 BROCKTON AVE, STE. A-BRiverside, CA 92506-3809
Mailing Address6969 Brockton Ave, Ste. A-bRiverside, CA 92506-3809 · (951) 530-8989 · Fax (951) 530-8877
Phone(951) 530-8989
Fax(951) 530-8877
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1998
Enumeration DateJuly 12, 2005
Last NPPES UpdateMarch 4, 20162 updates tracked since enumeration
✔ NPI 1154329373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in CA · A85478
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License A85478 (CA)
6969 BROCKTON AVE, Riverside, CA 92506
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINH73276CA
Medicare ID-Type Unspecified00A854780CA
Medicaid00A854780CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paulus L. Santoso M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204808819
PECOS Enrollment IDI20040812000558
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1107032

Paulus Santoso, MD, Apc Dba Abella Medical Group · Riverside, CA
Active · expires Oct 26, 2027
CLIA Number05D1107032
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorPaulus Santoso, MD
Laboratory Phone(951) 530-8989
Laboratory LocationPaulus Santoso, MD, Apc Dba Abella Medical Group6969 Brockton Ave Ste A, Riverside, CA 92506
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92506 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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 18

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

PARUL INDRAVADAN PATEL M.D.
Anesthesiology
6969 BROCKTON AVE, SUITE B
RIVERSIDE, CA 92506
Riverside County (951) 686-3579
PAULUS SANTOSO MD A PROFESSIONAL CORPORATION
Obstetrics & Gynecology (Obstetrics)
6969 BROCKTON AVE, SUITE A-B
RIVERSIDE, CA 92506
Riverside County (951) 530-8989
MICHAEL JAMES BUCHAN MD
Anesthesiology
6969 BROCKTON AVE, SUITE B
RIVERSIDE, CA 92506
Riverside County (951) 686-3575
BARBARA PARVINDER BRAR MD
Anesthesiology
6969 BROCKTON AVE, SUITE B
RIVERSIDE, CA 92506
Riverside County (951) 686-3575
NGOC A PHAM MD
Anesthesiology
6969 BROCKTON AVE, SUITE B
RIVERSIDE, CA 92506
Riverside County (951) 686-3575
JASON WARD CUNNAN MD
Anesthesiology
6969 BROCKTON AVE, SUITE B
RIVERSIDE, CA 92506
Riverside County (951) 686-3575
DAVID B HIRST MD
Anesthesiology
6969 BROCKTON AVE, AVE B
RIVERSIDE, CA 92506
Riverside County (951) 686-3575
LONG XU MD
Anesthesiology
6969 BROCKTON AVE, SUITE B
RIVERSIDE, CA 92506
Riverside County (951) 686-3575

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 Paulus Santoso's NPI number?

The NPI number for Paulus Santoso is 1154329373. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Paulus Santoso located?

Paulus Santoso practices at 6969 Brockton Ave Ste. A-B, Riverside, CA 92506. The listed phone number is (951) 530-8989.

What is Paulus Santoso's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Paulus Santoso enrolled in Medicare?

Yes. Paulus Santoso is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Paulus Santoso hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1107032) is associated with this NPI, valid through October 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Paulus Santoso was last updated on March 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.