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TRYSARI SUDIRO
NPI 1396432399
Nurse Practitioner - Acute Care in Long Beach, CA

Active since April 19, 2023
2810 LONG BEACH BLVD, LONG BEACH, CA 90806(626) 709-7802 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Trysari Sudiro NPPES

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

TRYSARI SUDIRO (NPI 1396432399) is an individual acute care provider in Long Beach, California, licensed in California (95018240) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1396432399
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameTRYSARI SUDIRO
Location Address2810 LONG BEACH BLVDLong Beach, CA 90806-1558
Mailing Address2810 Long Beach BlvdLong Beach, CA 90806-1558 · (626) 709-7802
Phone(626) 709-7802
Sole ProprietorYes
Enumeration DateApril 19, 2023
Last NPPES UpdateMay 26, 2023
NPPES CertifiedMay 26, 2023
✔ NPI 1396432399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95018240
2810 LONG BEACH BLVD, Long Beach, CA 90806
Open in Google Maps ↗

Other Names 1

Former Name (1)Trysari Chandra

Other Providers at the Same Location NPPES 9

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

FARAH SHAH MD
Internal Medicine (Hematology & Oncology)
2810 LONG BEACH BLVD
LONG BEACH, CA 90806
Los Angeles County (562) 933-1877
LONG BEACH MEMORIAL MEDICAL
Pharmacy (Specialty Pharmacy)
2810 LONG BEACH BLVD
LONG BEACH, CA 90806
Los Angeles County (562) 933-1844
MOLLY KATHLEEN LEHMAN MSGC
Genetic Counselor, MS
2810 LONG BEACH BLVD
LONG BEACH, CA 90806
Los Angeles County (562) 933-7475
OB/GYN UNIVERSITY ASSOCIATES - TODD CANCER INSTITUTE PAVILION LONG BEA
Clinic/Center (Medical Specialty)
2810 LONG BEACH BLVD
LONG BEACH, CA 90806
Los Angeles County (562) 933-2824
LAUREN AKAHOSHI PA-C
Physician Assistant
2810 LONG BEACH BLVD
LONG BEACH, CA 90806
Los Angeles County (562) 933-0900
MRS. JAMIE MARIE BALDERAS FNP
Nurse Practitioner (Family)
2810 LONG BEACH BLVD
LONG BEACH, CA 90806
Los Angeles County (562) 933-0628
DENEEN BOYCE R.N.
Nurse Practitioner (Gerontology)
2810 LONG BEACH BLVD
LONG BEACH, CA 90806
Los Angeles County (562) 933-2824
MR. JONATHAN B. BLITZER MD
Internal Medicine (Hematology & Oncology)
2810 LONG BEACH BLVD
LONG BEACH, CA 90806
Los Angeles County (562) 933-1877

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 Trysari Sudiro's NPI number?

The NPI number for Trysari Sudiro is 1396432399. It was assigned to this individual provider in the NPPES registry on April 19, 2023. The provider is also known as Trysari Chandra.

Where is Trysari Sudiro located?

Trysari Sudiro practices at 2810 Long Beach Blvd, Long Beach, CA 90806. The listed phone number is (626) 709-7802.

What is Trysari Sudiro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Trysari Sudiro was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.