PETER SUMARSONO PROFESSIONAL DENTAL CORPORATION
NPI 1326443920
Preferred Provider Organization in Irvine, CA

Q: What is Peter Sumarsono Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Active since October 27, 2014

4605 BARRANCA PARKWAY., 200, IRVINE, CA 92604(714) 864-8261 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Peter Sumarsono Professional Dental Corporation NPPES

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

PETER SUMARSONO PROFESSIONAL DENTAL CORPORATION (NPI 1326443920) is a healthcare organization registered as a preferred provider organization in Irvine, California and active in the NPI registry since October 2014. The organization lists Caroline Sumarsono, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1326443920

Entity TypeOrganization

Primary Taxonomy305R00000X

Legal Business NamePETER SUMARSONO PROFESSIONAL DENTAL CORPORATION

Location Address4605 BARRANCA PARKWAY., 200Irvine, CA 92604

Mailing Address4605 Barranca Pkwy Ste 200Irvine, CA 92604-1729 · (714) 864-8261

Phone(714) 864-8261

Organization SubpartNo

Authorized OfficialCaroline SumarsonoOffice Manager · (714) 864-8261

Enumeration DateOctober 27, 2014

✔ NPI 1326443920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations

Taxonomy Code305R00000X

License✔ Licensed in CA · 40736

Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

4605 BARRANCA PARKWAY., 200, Irvine, CA 92604

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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 Peter Sumarsono Professional Dental Corporation's NPI number?

The NPI number for Peter Sumarsono Professional Dental Corporation is 1326443920. It was assigned to this organization in the NPPES registry on October 27, 2014.

Where is Peter Sumarsono Professional Dental Corporation located?

Peter Sumarsono Professional Dental Corporation is located at 4605 Barranca Parkway., 200, Irvine, CA 92604. The listed phone number is (714) 864-8261.

What is Peter Sumarsono Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Peter Sumarsono Professional Dental Corporation was last updated on October 27, 2014. 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.