BERNARDUS GANI SUGIARTO KARTONO WINARDI MD
NPI 1700124161
Pediatrics in Lompoc, CA

Q: What is Bernardus Kartono Winardi's NPI number?

The NPI number for Bernardus Kartono Winardi is 1700124161. It was assigned to this individual provider in the NPPES registry on January 19, 2013.

Q: What is Bernardus Kartono Winardi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since January 19, 2013PECOS EnrolledAccepts Medicare Assignment

425 W CENTRAL AVE, SUITE 201, LOMPOC, CA 93436(805) 737-1169(805) 737-1772 Get Directions Write a Review

NPPES record last updated: November 21, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Bernardus Gani Sugiarto Kartono Winardi Md NPPES

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

BERNARDUS GANI SUGIARTO KARTONO WINARDI MD (NPI 1700124161) is an individual pediatrics provider in Lompoc, California, licensed in California (A135298) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1700124161

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameBERNARDUS GANI SUGIARTO KARTONO WINARDICredential: MD

Location Address425 W CENTRAL AVE, SUITE 201Lompoc, CA 93436-2805

Mailing Address2050 S Blosser RdSanta Maria, CA 93458-7310 · (805) 361-8028 · Fax (805) 361-8097

Phone(805) 737-1169

Fax(805) 737-1772

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateJanuary 19, 2013

Last NPPES UpdateNovember 21, 2016

✔ NPI 1700124161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A135298

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X

425 W CENTRAL AVE, Lompoc, CA 93436

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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

Bernardus Gani Sugiarto Kartono Winardi Md 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 ID9638484462

PECOS Enrollment IDI20150821014336

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 Reassignment

Medicare enrollment records show Bernardus Kartono Winardi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Centers Of The Central Coast Inc

1.7 mi

Federally Qualified Health Center (FQHC)

1300 W OCEAN AVE
Lompoc, CA 93436

Reassigned Medicare billing, California enrollment
213 clinicians in this Medicare group

NPI 1326065103 (805) 737-1169

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93436 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

$94.71 typical visit price

range $62.01 – $184.40

Typical copayment $23.67 (range $15.50 – $46.10)

Most-billed visit code 99203

Established Patient

$108.26 typical visit price

range $20.60 – $151.20

Typical copayment $27.06 (range $5.15 – $37.80)

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.

Other Providers at the Same Location NPPES 8

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

MARTHA C SALCIDO PA

Physician Assistant