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HERMAN SARDJONO MD MEDICAL CORPORAT
NPI 1700890167
Internal Medicine in Arcadia, CA

Active since July 28, 2006
72 W LAS TUNAS DR, ARCADIA, CA 91007(626) 821-5305(626) 821-0141 Get Directions Write a Review

NPPES record last updated: November 12, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Herman Sardjono Md Medical Corporat NPPES

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

HERMAN SARDJONO MD MEDICAL CORPORAT (NPI 1700890167) is a healthcare organization registered as an internal medicine in Arcadia, California and active in the NPI registry since July 2006. The organization lists Herman Sardjono Md, President, as its authorized official.

NPPES Registry Identity

NPI1700890167
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHERMAN SARDJONO MD MEDICAL CORP
Location Address72 W LAS TUNAS DRArcadia, CA 91007
Mailing Address72 W Las Tunas DrArcadia, CA 91007 · (626) 821-5305 · Fax (626) 821-0141
Phone(626) 821-5305
Fax(626) 821-0141
Organization SubpartNo
Authorized OfficialHerman Sardjono MdPresident · (626) 821-5305
Enumeration DateJuly 28, 2006
Last NPPES UpdateNovember 12, 2019
✔ NPI 1700890167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A41793
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
72 W LAS TUNAS DR, Arcadia, CA 91007
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Other Names 3

Other NameHerman Sardjono Md Medical Corporat
Other NameHerman Sardjono Md Med Corp
Other NameHerman Sardjono Md Medical Corporation

Other Identifiers 1

Medicaid00A417930CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Herman Sardjono Md Medical Corporat is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Herman Sardjono MD Medical Corporat, which bills Medicare for the services this clinician delivers.

Clinician (1)

Herman Sardjono, MD
Internal Medicine
NPI 1225142128
72 W LAS TUNAS DR
Arcadia, CA 91007
(626) 821-5305
✔ PECOS✔ Accepts MedicareSame address

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

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 Herman Sardjono MD Medical Corp's NPI number?

The NPI number for Herman Sardjono MD Medical Corp is 1700890167. It was assigned to this organization in the NPPES registry on July 28, 2006. The provider is also known as Herman Sardjono MD Medical Corporat, Herman Sardjono MD Med Corp and Herman Sardjono MD Medical Corporation.

Where is Herman Sardjono MD Medical Corp located?

Herman Sardjono MD Medical Corp is located at 72 W Las Tunas Dr, Arcadia, CA 91007. The listed phone number is (626) 821-5305.

What is Herman Sardjono MD Medical Corp's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Herman Sardjono MD Medical Corp enrolled in Medicare?

Yes. Herman Sardjono MD Medical Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Herman Sardjono MD Medical Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Herman Sardjono MD Medical Corp. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Herman Sardjono MD Medical Corp was last updated on November 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.