DR. PRESTON PARDAMEAN SITORUS MD
NPI 1194305847
Student in an Organized Health Care Education/Training Program in Sylmar, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 08, 2021PECOS Enrolled

14445 OLIVE VIEW DR, SYLMAR, CA 91342(747) 210-3000 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Preston Pardamean Sitorus Md NPPES

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

DR. PRESTON PARDAMEAN SITORUS MD (NPI 1194305847) is an individual student in an organized health care education/training program in Sylmar, California and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194305847

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. PRESTON PARDAMEAN SITORUSCredential: MD

Location Address14445 OLIVE VIEW DRSylmar, CA 91342-1437

Mailing Address9067 Wharton WayElk Grove, CA 95624-4098 · (916) 753-4695

Phone(747) 210-3000

Sole ProprietorYes

Enumeration DateApril 8, 2021

NPPES CertifiedApril 8, 2021

✔ NPI 1194305847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

14445 OLIVE VIEW DR, Sylmar, CA 91342

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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)

Dr. Preston Pardamean Sitorus 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.