KARTIKA BUDIMAN NURSE PRACTITIONER
NPI 1295200038
Nurse Practitioner - Family in Pomona, CA

Active since October 08, 2018PECOS EnrolledAccepts Medicare Assignment
1450 E HOLT AVE, POMONA, CA 91767(909) 630-7927 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2024, Mar 15, 2021, Oct 8, 2018 (3 updates tracked since 2018).

About Kartika Budiman Nurse Practitioner NPPES

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

KARTIKA BUDIMAN NURSE PRACTITIONER (NPI 1295200038) is an individual family provider in Pomona, California, licensed in California (NP950101068) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Riverside, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295200038
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKARTIKA BUDIMANCredential: NURSE PRACTITIONER
Location Address1450 E HOLT AVEPomona, CA 91767-5822
Mailing Address3119 Park Vista DrRialto, CA 92376-7100 · (909) 498-6274
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 8, 2018
Last NPPES UpdateMay 8, 20243 updates tracked since enumeration
NPPES CertifiedMarch 15, 2021
NPI 1295200038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · NP950101068
1450 E HOLT AVE, Pomona, CA 91767

Secondary Practice Location 1

Location 14234 Riverwalk Pkwy Ste 230Riverside, CA 92505-3312 · Phone (951) 781-3672

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

Kartika Budiman Nurse Practitioner 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 ID1254676869
PECOS Enrollment IDI20190308002394
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91767 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers17 claims17 services$29.30 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers28 claims28 services$67.48 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers21 claims62 services$29.14 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers13 claims13 services$13.33 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers22 claims132 services$1.59 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
2 suppliers11 claims11 services$9.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

Family Medicine
1450 E HOLT AVE
POMONA, CA 91767
Nurse Practitioner
1450 E HOLT AVE
POMONA, CA 91767
Dentist
1450 E HOLT AVE
POMONA, CA 91767
Nurse Practitioner (Pediatrics)
1450 E HOLT AVE
POMONA, CA 91767
Nurse Practitioner (Obstetrics & Gynecology)
1450 E HOLT AVE
POMONA, CA 91767
Marriage & Family Therapist
1450 E HOLT AVE
POMONA, CA 91767
Family Medicine
1450 E HOLT AVE
POMONA, CA 91767
Nurse Practitioner (Family)
1450 E HOLT AVE
POMONA, CA 91767

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 Kartika Budiman's NPI number?

The NPI number for Kartika Budiman is 1295200038. It was assigned to this individual provider in the NPPES registry on October 8, 2018.

Where is Kartika Budiman located?

Kartika Budiman practices at 1450 E Holt Ave, Pomona, CA 91767. The listed phone number is (909) 630-7927.

What is Kartika Budiman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kartika Budiman enrolled in Medicare?

Yes. Kartika Budiman 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.

When was this NPI record last updated?

The NPPES record for Kartika Budiman was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.