RUSLY HARSONO MD, FAAP
NPI 1316145832
Pediatrics - Pediatric Critical Care Medicine in Palo Alto, CA

Q: What is Rusly Harsono's NPI number?

The NPI number for Rusly Harsono is 1316145832. It was assigned to this individual provider in the NPPES registry on July 5, 2007.

Q: What is Rusly Harsono's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Rusly Harsono was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 05, 2007

725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Rusly Harsono Md, Faap NPPES

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

RUSLY HARSONO MD, FAAP (NPI 1316145832) is an individual pediatric critical care medicine provider in Palo Alto, California, licensed in California (A92797) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1316145832

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameRUSLY HARSONOCredential: MD, FAAP

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address1804 Embarcadero Rd, Ste. #100, Mc 5548Palo Alto, CA 94303-3341 · (650) 723-4000

Phone(650) 497-8000

Sole ProprietorYes

Enumeration DateJuly 5, 2007

Last NPPES UpdateJune 16, 2015

✔ NPI 1316145832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in CA · A92797✔ Licensed in NY · 002881✔ Licensed in PA · MD426037✔ Licensed in AZ · 43740

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 002881 (NY), A92797 (CA), MD426037 (PA)

Also ListedGeneral Acute Care Hospital · ChildrenTaxonomy 282NC2000X · License 43740 (AZ)

725 WELCH RD, Palo Alto, CA 94304

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Other Identifiers 1

Medicare PINZ142035AZ

Other Providers at the Same Location NPPES 20

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

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)