DR. YINTAWATI A SATYARAHARDJA DDS
NPI 1275695553
Dentist in San Bernardino, CA

Active since December 14, 2006PECOS Enrolled
1199 N E ST, SAN BERNARDINO, CA 92410(909) 381-6507 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Yintawati A Satyarahardja Dds NPPES

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

DR. YINTAWATI A SATYARAHARDJA DDS (NPI 1275695553) is an individual dentist in San Bernardino, California, licensed in California (46955) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275695553
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. YINTAWATI A SATYARAHARDJACredential: DDS
Location Address1199 N E STSan Bernardino, CA 92410-3507
Mailing Address1240 S Lark Ellen AveWest Covina, CA 91791-3841 · (626) 893-5677
Sole ProprietorNo
Enumeration DateDecember 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1275695553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 46955
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1199 N E ST, San Bernardino, CA 92410

Accepted Insurance

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. Yintawati A Satyarahardja Dds 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 92410 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
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 6

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

Dentist
1199 N E ST
SAN BERNARDINO, CA 92410
Dentist
1199 N E ST
SAN BERNARDINO, CA 92410
Dentist
1199 N E ST
SAN BERNARDINO, CA 92410
Dentist (General Practice)
1199 N E ST
SAN BERNARDINO, CA 92410
Dentist
1199 N E ST
SAN BERNARDINO, CA 92410
Dentist (Dental Public Health)
1199 N E ST
SAN BERNARDINO, CA 92410

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 Yintawati Satyarahardja's NPI number?

The NPI number for Yintawati Satyarahardja is 1275695553. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Yintawati Satyarahardja located?

Yintawati Satyarahardja practices at 1199 N E St, San Bernardino, CA 92410. The listed phone number is (909) 381-6507.

What is Yintawati Satyarahardja's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Yintawati Satyarahardja enrolled in Medicare?

Yes. Yintawati Satyarahardja is registered in the Medicare PECOS enrollment system.

What insurance does Yintawati Satyarahardja accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Yintawati Satyarahardja 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 Yintawati Satyarahardja was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.