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PAUL SUGIHARTO
NPI 1619445665
Nurse Practitioner - Family in Alhambra, CA

Active since November 07, 2018PECOS Enrolled
425 W MAIN ST STE 101, ALHAMBRA, CA 91801(626) 382-1252 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 23, 2023, Nov 7, 2018 (2 updates tracked since 2018).

About Paul Sugiharto NPPES

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

PAUL SUGIHARTO (NPI 1619445665) is an individual family provider in Alhambra, California, licensed in California (NP95010196) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619445665
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NamePAUL SUGIHARTO
Location Address425 W MAIN ST STE 101Alhambra, CA 91801-7439
Mailing Address12143 Lambert AveEl Monte, CA 91732-2055 · (626) 590-1404
Phone(626) 382-1252
Sole ProprietorYes
Enumeration DateNovember 7, 2018
Last NPPES UpdateFebruary 23, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
✔ NPI 1619445665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NP95010196
Also ListedRegistered NurseTaxonomy 163W00000X · License 744628 (CA)
425 W MAIN ST STE 101, Alhambra, CA 91801
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Sugiharto is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers24 claims47 services$4.20 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers21 claims21 services$0.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

JAYA HEALTHCARE NURSING INC.
Nurse Practitioner (Family)
425 W MAIN ST STE 101
ALHAMBRA, CA 91801
Los Angeles County (626) 228-9957
ALHAMBRA URGENT CARE, LLC
Clinic/Center (Urgent Care)
425 W MAIN ST STE 101
ALHAMBRA, CA 91801
Los Angeles County (713) 660-0557
ROS MEDICAL GROUP INC
Family Medicine
425 W MAIN ST STE 101
ALHAMBRA, CA 91801
Los Angeles County (626) 382-1263
DR. HSIUNG W. LIN M.D.
Family Medicine
425 W MAIN ST STE 101
ALHAMBRA, CA 91801
Los Angeles County (626) 576-0586

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 Paul Sugiharto's NPI number?

The NPI number for Paul Sugiharto is 1619445665. It was assigned to this individual provider in the NPPES registry on November 7, 2018.

Where is Paul Sugiharto located?

Paul Sugiharto practices at 425 W Main St Ste 101, Alhambra, CA 91801. The listed phone number is (626) 382-1252.

What is Paul Sugiharto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Paul Sugiharto enrolled in Medicare?

Yes. Paul Sugiharto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Sugiharto was last updated on February 23, 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.