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DR. SANDJAYA TRIKADIBUSANA MSOM/DAOM CANDIDATE
NPI 1194962076
Acupuncturist in Anaheim, CA

Active since January 14, 2009
1126 N BROOKHURST ST,, SOUTH BAYLO UNIVERSITY, 3RD FLOOR, ANAHEIM, CA 92801(562) 866-5830 Get Directions Write a Review

NPPES record last updated: January 14, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sandjaya Trikadibusana Msom/daom Candidate NPPES

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

DR. SANDJAYA TRIKADIBUSANA MSOM/DAOM CANDIDATE (NPI 1194962076) is an individual acupuncturist in Anaheim, California, licensed in California (AC 8055) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1194962076
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameDR. SANDJAYA TRIKADIBUSANACredential: MSOM/DAOM CANDIDATE
Location Address1126 N BROOKHURST ST,, SOUTH BAYLO UNIVERSITY, 3RD FLOORAnaheim, CA 92801
Mailing Address1126 N Brookhurst St,, South Baylo University, 3rd FloorAnaheim, CA 92801 · (562) 866-5830
Phone(562) 866-5830
Sole ProprietorYes
Enumeration DateJanuary 14, 2009
✔ NPI 1194962076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in CA · AC 8055
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
1126 N BROOKHURST ST,, Anaheim, CA 92801
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Other Names 1

Professional Name (2)Dr. Sandjaya Tri Msom/daom Candidate

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Sandjaya Trikadibusana's NPI number?

The NPI number for Sandjaya Trikadibusana is 1194962076. It was assigned to this individual provider in the NPPES registry on January 14, 2009. The provider is also known as Dr. Sandjaya Tri Msom/Daom Candidate.

Where is Sandjaya Trikadibusana located?

Sandjaya Trikadibusana practices at 1126 N Brookhurst St, South Baylo University, 3rd Floor, Anaheim, CA 92801. The listed phone number is (562) 866-5830.

What is Sandjaya Trikadibusana's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

What insurance does Sandjaya Trikadibusana accept?

Health plans from Providence Health Plan list Sandjaya Trikadibusana as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sandjaya Trikadibusana was last updated on January 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.