KARTIKA BUDIMAN NURSE PRACTITIONER
NPI 1295200038
Nurse Practitioner - Family in Pomona, CA
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Kartika Budiman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chino Hills, CA 91709
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Baldwin Park, CA 91706
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Riverside, CA 92503
- Reassigned Medicare billing, California enrollment
- 14 clinicians in this Medicare group
Tustin, CA 92780
- Reassigned Medicare billing, California enrollment
- 78 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
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.
Which organizations bill Medicare for Kartika Budiman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kartika Budiman reassigns Medicare benefits to 4 organizations: Faculty Physicians And Surgeons Of Llusm (Chino Hills, CA), Southern California Permanente Medical Group (Baldwin Park, CA), Apple Urgent Care, Inc (Riverside, CA) and Dispatchhealth-Ca, PC (Tustin, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kartika Budiman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Kartika Budiman, NURSE PRACTITIONER · NPI 1295200038
Family physician in Pomona, California. Individual provider, active in the CMS NPPES registry since October 8, 2018.
## Identity
- **NPI:** 1295200038 (Entity type: Individual)
- **Enumerated:** October 8, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP950101068 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1450 E HOLT AVE, Pomona, CA 91767-5822
- **Phone:** (909) 630-7927
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Faculty Physicians And Surgeons Of Llusm (NPI 1811205131, Chino Hills, CA); Southern California Permanente Medical Group (NPI 1770515280, Baldwin Park, CA); Apple Urgent Care, Inc (NPI 1326747023, Riverside, CA); Dispatchhealth-Ca, PC (NPI 1639752553, Tustin, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1295200038) · Data from the CMS NPPES public registry.