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DAVID HADIPRODJO M.D.
NPI 1447683537
Anesthesiology in Fountain Valley, CA

Active since August 13, 2013PECOS EnrolledAccepts Medicare Assignment
17100 EUCLID ST, FOUNTAIN VALLEY, CA 92708(858) 382-2286 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About David Hadiprodjo M.d. NPPES

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

DAVID HADIPRODJO M.D. (NPI 1447683537) is an individual anesthesiology provider in Fountain Valley, California, licensed in California (A131943) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2013).

NPPES Registry Identity

NPI1447683537
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDAVID HADIPRODJOCredential: M.D.
Location Address17100 EUCLID STFountain Valley, CA 92708-4004
Mailing Address2501 Alton Pkwy Unit 2451Irvine, CA 92606-4854 · (858) 382-2286
Phone(858) 382-2286
Sole ProprietorYes
Medical School CMSBoston University School Of MedicineGraduated 2013
Enumeration DateAugust 13, 2013
Last NPPES UpdateMarch 1, 2022
NPPES CertifiedMarch 1, 2022
✔ NPI 1447683537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · A131943
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
17100 EUCLID ST, Fountain Valley, CA 92708
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

David Hadiprodjo M.d. 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 ID345518874
PECOS Enrollment IDI20170623002354
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.

Medicare Billing Reassignments

3

Medicare enrollment records show David Hadiprodjo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premiercare Anesthesia Fountain Valley Inc
0.2 mi
Anesthesiology
17100 EUCLID ST.
Fountain Valley, CA 97208
  • Reassigned Medicare billing, California enrollment
  • 59 clinicians in this Medicare group
NPI 1831536531 (714) 966-7200
Southern California Permanente Medical Group
24 mi
Clinical Medical Laboratory
13000 PEYTON DR
Chino Hills, CA 91709
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1396287082 (888) 750-0036
Allied Anesthesia Medical Group Inc
  • Reassigned Medicare billing, California enrollment
  • 420 clinicians in this Medicare group
No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

HAI PHAM PHARM D
Pharmacist
17100 EUCLID ST
FOUNTAIN VALLEY, CA 92708
Orange County (174) 513-5586
DALILAH RESTREPO MD, A MEDICAL CORPORATION
Internal Medicine (Infectious Disease)
17100 EUCLID ST
FOUNTAIN VALLEY, CA 92708
Orange County (917) 376-0967
DR. JANELLE PENALOSA AGUSTIN PHARMD
Pharmacist
17100 EUCLID ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 966-7262
THERESA S MAESTAS MD
Emergency Medicine
17100 EUCLID ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 966-7200
SANDRA KLUWE, M.D., INC.
Anesthesiology
17100 EUCLID ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 979-1211
DR. SANDRA W KLUWE M.D.
Anesthesiology
17100 EUCLID ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 979-1211
JOEE QUYEN TRUONG R.N
Nurse Practitioner
17100 EUCLID ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 966-7200
ELSA A. TEKLE M.D.
Anesthesiology
17100 EUCLID ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 949-1211

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 David Hadiprodjo's NPI number?

The NPI number for David Hadiprodjo is 1447683537. It was assigned to this individual provider in the NPPES registry on August 13, 2013.

Where is David Hadiprodjo located?

David Hadiprodjo practices at 17100 Euclid St, Fountain Valley, CA 92708. The listed phone number is (858) 382-2286.

What is David Hadiprodjo's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is David Hadiprodjo enrolled in Medicare?

Yes. David Hadiprodjo 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 David Hadiprodjo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Hadiprodjo reassigns Medicare benefits to 3 organizations: Premiercare Anesthesia Fountain Valley Inc (Fountain Valley, CA), Southern California Permanente Medical Group (Chino Hills, CA) and Allied Anesthesia Medical Group Inc (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 David Hadiprodjo'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 David Hadiprodjo was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.